Distal Esophageal Duplication Cyst with Gastro-Esophageal Reflux Disease: A Rare Association and a Management

Iftikhar Ahmad Jan1, Asma Al Nuaimi2, Basma Al Hamoudi2

  • 1Department of Pediatric Surgery, Zayed Military Hospital, Abu Dhabi, UAE.

Insights

This case report details a rare association between esophageal duplication cysts and severe Gastro-Esophageal Reflux Disease (GERD) in a pediatric patient. Surgical intervention successfully treated both conditions, improving the child

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Abnormalities

Background:

  • Esophageal duplication cysts are uncommon congenital foregut anomalies.
  • The co-occurrence of esophageal duplication cysts and severe Gastro-Esophageal Reflux Disease (GERD) in children is not previously documented.

Observation:

  • A 16-month-old infant initially diagnosed with diaphragmatic hernia presented with hematemesis.
  • Imaging revealed a distal esophageal duplication cyst and severe GERD (grade IV).
  • Initial thoracoscopy failed to identify the cyst, but subsequent evaluation confirmed its presence.

Findings:

  • The patient underwent successful surgical excision of the esophageal duplication cyst.
  • Thoracic fundoplication was performed to address the severe GERD.
  • Post-operative recovery was uneventful, with the patient doing well at 6-month follow-up.

Implications:

  • This case highlights the potential association between esophageal duplication cysts and GERD in pediatric patients.
  • Early and accurate diagnosis is crucial for effective management of these co-existing conditions.
  • Combined surgical treatment can lead to favorable outcomes in affected children.

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