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Esophageal Duplication Cyst Treated Thoracoscopically During the Neonatal Period: Clinical Case Report

Barbara Cuch1, Pawel Nachulewicz, Andrzej Pawel Wieczorek

  • 1From the Department of Paediatric Surgery and Traumatology (BC, PN), Department of Paediatric Radiology (APW, MW), and Department of Paediatric, Medical University of Lublin, Lublin, Poland (EP-K).

Medicine
|December 15, 2015
PubMed

Insights

Esophageal duplication cysts (EDCs) are rare congenital anomalies. Early surgical removal in neonates is safe and effective, preventing potential complications.

Area of Science:

  • Developmental biology
  • Pediatric surgery
  • Medical imaging

Background:

  • Esophageal duplication cysts (EDCs) are uncommon congenital malformations, typically found in the thoracic region.
  • While often asymptomatic at birth, EDCs can lead to significant respiratory or feeding issues based on size and location.
  • The estimated prevalence of EDCs is 1 in 8200 live births, with diagnosis frequently occurring prenatally or in early childhood.

Observation:

  • A case report details a female neonate diagnosed prenatally with a cyst in the right pleural cavity.
  • Computed tomography confirmed a cystic mass near the left lung base.
  • The neonate underwent successful thoracoscopic cyst excision on day 15 postpartum.

Findings:

  • Histological examination confirmed the cystic mass as a foregut duplication.
  • The surgical procedure and postoperative recovery were uneventful.
  • This case highlights the successful management of a congenital esophageal anomaly.

Implications:

  • Early diagnosis and intervention for EDCs are crucial to prevent symptom onset and complications.
  • Neonatal surgical intervention for EDCs is demonstrated to be a safe and effective treatment modality.
  • This case contributes to the understanding of managing rare congenital thoracic masses in newborns.

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