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Tracheal Duplication Cyst Presenting as Chest Pain
Shreyas Bellur1, Vivek Bhat2, Sreekar Balasundaram1
1Department of Cardiothoracic Surgery, St. John's Medical College Hospital, Bangalore, IND.
Cureus
|September 11, 2023
Summary
Tracheal duplication cysts (TDCs) are rare congenital malformations. This case highlights the diagnostic challenges and emphasizes complete surgical resection for symptomatic TDCs to prevent recurrence.
Area of Science:
- Thoracic Surgery
- Congenital Malformations
- Diagnostic Imaging
Background:
- Tracheal duplication cysts (TDCs) are uncommon congenital anomalies.
- Diagnosis in adulthood is rare and often challenging.
- TDCs can mimic other conditions, leading to delayed diagnosis.
Observation:
- A 43-year-old female presented with chronic chest and abdominal pain.
- Previous imaging suggested an esophageal duplication cyst.
- A prior thoracoscopic surgery for a cyst was noted, but details were unavailable.
Findings:
- Repeat imaging confirmed a cystic lesion near the esophagus.
- Intraoperative visualization revealed a mass adjacent to the esophagus.
- Histopathology definitively diagnosed a tracheal duplication cyst.
Implications:
- Atypical imaging of duplication cysts necessitates histopathological confirmation.
- Complete surgical excision is crucial for symptomatic TDCs.
- Considering TDCs in differential diagnoses is vital for appropriate management and preventing recurrence.
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