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Inspiratory Stridor as the First Rare Presentation of Infantile Esophageal Diverticulum: A Case Report
Ahmed Abdel-Fattah ElSobki1, Noha Ahmed El-Kholy1, Eslam Hamed Elsayed Abdou1
1Department of Otorhinolaryngology-Head & Neck Surgery, Faculty of Medicine, Mansoura University, El-Gomhoria Street, Mansoura, Dakahlia Governorate Egypt.
Insights
Congenital esophageal diverticulum is rare, often presenting with airway issues like stridor and neck swelling, not just feeding problems. Early consideration is vital for accurate diagnosis in infants.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Pulmonology
Background:
- Congenital esophageal diverticulum is an exceptionally rare condition.
- Typical symptoms include feeding difficulties, but airway compromise can also occur.
Purpose of the Study:
- To report a rare case of congenital esophageal diverticulum presenting with airway obstruction.
- To highlight the importance of considering this condition in the differential diagnosis of pediatric airway issues.
Main Methods:
- Case report of a one-year-old child with significant airway problems and neck swelling.
- Review of clinical presentation and diagnostic considerations.
Main Results:
- The child presented primarily with airway distress and a large neck mass.
- Diagnosis of esophageal diverticulum was confirmed, despite atypical initial symptoms.
Conclusions:
- Congenital esophageal diverticulum can manifest with prominent airway symptoms, potentially leading to diagnostic delays.
- Clinicians should include this rare condition in their differential diagnosis for infants with unexplained airway problems and neck swelling.
Abstract:
Congenital esophageal diverticulum is an extremely rare condition with few reports published in the literature. Although its typical presentation is related to feeding problem, stridor and respiratory distress can be the leading symptoms in some cases. In this report, we present a case of esophageal diverticulum in a one-year-old child came primarily with airway problems associated with large neck swelling. Owing to its rarity, a diagnosis of an esophageal diverticulum can be missed with such presentation. Therefore, reporting these cases is valuable for clinicians to be considered in their differential diagnosis during management of these cases.
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