A Case of Esophageal Duplication Cyst Identified on Cardiac Point-of-Care Ultrasound

Area of Science:

• Pediatric Gastroenterology
• Medical Imaging
• Congenital Anomalies

Background:

• Esophageal duplication cysts are uncommon congenital malformations.
• Symptoms often arise from compression of adjacent structures, frequently seen in children.
• Pediatric chest pain evaluation can involve point-of-care ultrasound.

Observation:

• A 6-year-old boy presented with severe abdominal and chest pain.
• The patient's symptoms prompted an emergency department visit.
• Point-of-care cardiac ultrasound was utilized for diagnostic assessment.

Findings:

• Ultrasound imaging revealed a cystic structure within the posterior mediastinum.
• The cystic structure was consistent with an esophageal duplication cyst.
• This finding aided in diagnosing the cause of the patient's pain.

Implications:

• Point-of-care ultrasound is a valuable tool for diagnosing pediatric esophageal duplication cysts.
• Early diagnosis can lead to timely management of symptomatic congenital anomalies.
• This case highlights the utility of bedside ultrasound in emergency pediatric care.