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Published on: March 6, 2019
A rare cause of wheezing in an infant: Esophageal duplication cyst
Kapil Kapoor1, Mamta Jajoo1, Swati Dublish1
1Department of Pediatrics, Maulana Azad Medical College and Associated Chacha Nehru Bal Chikitsalaya, New Delhi, India.
Insights
Esophageal duplication cysts (EDCs) are rare congenital anomalies. This case highlights EDC as an unusual cause of persistent infant wheezing, emphasizing its consideration in differential diagnoses.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Esophageal duplication cysts (EDCs) are rare congenital anomalies, classified under foregut duplication cysts.
- EDCs predominantly affect pediatric populations and can present with diverse clinical manifestations.
Observation:
- A 2-month-old infant presented with persistent wheezing unresponsive to standard treatments.
- Diagnostic bronchoscopy raised suspicion for an EDC.
- Magnetic resonance imaging provided provisional confirmation of the esophageal cyst.
Findings:
- Surgical excision of the esophageal duplication cyst was successfully performed.
- Histopathological examination confirmed the diagnosis of EDC.
Implications:
- Esophageal duplication cysts should be considered in the differential diagnosis of persistent, unexplained wheezing in infants.
- Early diagnosis and surgical intervention are crucial for managing symptomatic EDCs in neonates and infants.
Abstract:
Esophageal duplication cyst (EDC) is classified as a subgroup of foregut duplication cyst. They are very rare and predominantly detected in children. We present an unusual cause of wheezing in a 2-month-old infant. The diagnosis of EDC was suspected by bronchoscopy, provisionally confirmed by magnetic resonance imaging, and followed by successful surgical excision of the cyst. We conclude that foregut duplication cyst of the esophagus is very rare, and must be considered in the differential diagnosis of persistent wheezing in infants who do not respond to conventional treatment.
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