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Cystic duplication of lower esophagus in children case report

Boumediene Abou-Bekr1, Dalila Boumeslout1, Nassima Azzouz1

  • 1Department of Pediatric Surgery, Mother and Child Specialty Center at the University AbouBekr Belkaid Faculte of Medecine Tlemcen, Algeria.

International Journal of Surgery Case Reports
|June 14, 2025
PubMed

Insights

Esophageal duplication cysts are rare congenital malformations that can cause respiratory and digestive symptoms. Surgical intervention is crucial for treatment before complications arise.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Congenital Malformations

Background:

  • Esophageal duplication is a rare congenital malformation of the digestive tract.
  • It can be asymptomatic or present with respiratory distress due to compression.
  • These duplications account for 15-20% of all digestive duplications.

Observation:

  • A case of a 12-year-old male presenting with chest pain and dysphagia for 4 months is reported.
  • Diagnostic imaging revealed a fluid collection in the right lower esophageal mediastinum.
  • The condition was diagnosed as an esophageal duplication cyst.

Findings:

  • Esophageal duplication cysts are uncommon and can be challenging to diagnose.
  • Symptoms may include both respiratory and digestive issues, complicating diagnosis.
  • Imaging modalities like CT scans, esophageal transit studies, and endoscopy aid in defining the extent of the malformation.

Implications:

  • Surgical treatment is indicated for all esophageal duplication cysts to prevent serious complications.
  • Early diagnosis and surgical management are essential for favorable outcomes in pediatric patients.
  • This case highlights the importance of considering rare congenital anomalies in the differential diagnosis of chest pain and dysphagia.
Abstract

Keywords:
ChildDigestive duplicationDuplication cystEsophagus

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