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Related Concept Videos

Esophageal Achalasia01:27

Esophageal Achalasia

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Esophageal achalasia is a chronic neurogenic disorder characterized by impaired relaxation of the lower esophageal sphincter (LES) and absent or ineffective peristalsis in the distal esophagus. This leads to a functional obstruction without a physical blockage, despite significant disruption of esophageal motility.EtiologyAchalasia is caused by degeneration of the myenteric (Auerbach's) plexus, specifically the loss of inhibitory ganglion cells that produce vasoactive intestinal peptide...
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Esophageal Strictures-I: Introduction01:30

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Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
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Hiatal Hernia01:25

Hiatal Hernia

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A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or...
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Esophageal Strictures-II: Clinical Features and Management01:26

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Pyloric Obstruction01:11

Pyloric Obstruction

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Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
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Related Experiment Video

Updated: Apr 30, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
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Esophageal duplication cyst.

Reza Bagheri1, Amir Mohammad Hashem Asnaashari2, Reza Afghani3

  • 1Cardiothoracic Surgery & Transplant Research Center, Emam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Asian Cardiovascular & Thoracic Annals
|April 24, 2014
PubMed
Summary
This summary is machine-generated.

Esophageal duplication cysts are rare congenital growths. A case highlights a delayed diagnosis in a 25-year-old man presenting with persistent pulmonary issues.

Keywords:
Duplication cystbronchogenic cystmediastinal cyst

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Area of Science:

  • Medicine
  • Congenital Disorders
  • Thoracic Surgery

Background:

  • Esophageal duplication cysts (EDCs) are rare congenital anomalies of the foregut, typically presenting in infancy or childhood.
  • While most EDCs become symptomatic early, a subset can remain undiagnosed until adolescence or adulthood.
  • Symptoms arise from mass effect on adjacent structures, rupture, or infection.

Observation:

  • A 25-year-old male presented with recurrent pulmonary infections and bronchiectasis.
  • Symptoms were refractory to standard medical management.
  • Intraoperative findings led to the diagnosis of an esophageal duplication cyst.

Findings:

  • Esophageal duplication cyst diagnosed intraoperatively in an adult.
  • The cyst was the underlying cause of the patient's chronic pulmonary symptoms.
  • This case underscores the potential for late presentation of EDCs.

Implications:

  • Highlights the importance of considering rare congenital anomalies in adult patients with unexplained respiratory conditions.
  • Suggests that intraoperative diagnosis can be crucial for identifying the etiology of complex thoracic pathologies.
  • Emphasizes the need for a broad differential diagnosis in cases of refractory pulmonary infections.