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Foregut duplication cyst associated with esophageal atresia-one-stage neonatal surgical repair

R I Spataru1, M C Popoiu2, M Ivanov1

  • 1Department of Pediatric Surgery, "Maria Sklodowska Curie" Children's Hospital, University of Medicine and Pharmacy "Carol Davila", Bucharest, Romania.

The Indian Journal of Surgery
|May 15, 2015
PubMed

Insights

Foregut duplication cysts rarely associate with esophageal atresia and tracheoesophageal fistula. This case highlights early diagnosis and treatment during surgical repair for these rare congenital anomalies.

Area of Science:

  • Pediatric Surgery
  • Congenital Malformations
  • Gastrointestinal Development

Background:

  • Foregut duplication cysts are rare congenital anomalies occurring along the foregut.
  • Association with esophageal atresia (EA) and tracheoesophageal fistula (TEF) is exceptionally uncommon.
  • Diagnosis is often delayed until symptoms or complications arise in older patients.

Purpose of the Study:

  • To report a rare case of foregut duplication cyst associated with EA-TEF.
  • To emphasize the possibility of concurrent diagnosis during EA-TEF repair.
  • To contribute to the limited literature on this specific association.

Main Methods:

  • Case presentation of a neonate with EA-TEF.
  • Surgical repair of EA-TEF.
  • Intraoperative diagnosis and management of an incidental foregut duplication cyst.

Main Results:

  • The third reported case of foregut duplication cyst co-existing with EA-TEF.
  • Successful simultaneous diagnosis and treatment during EA-TEF repair.
  • No immediate postoperative complications related to the cyst.

Conclusions:

  • Concurrent diagnosis of foregut duplication cysts during EA-TEF repair is feasible.
  • Early identification and management can prevent potential future complications.
  • This case underscores the importance of thorough intraoperative assessment in complex congenital anomalies.

Keywords:
Esophageal atresiaForegut duplication cystTracheoesophageal fistula

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