Related Experiment Video

Updated: Sep 14, 2025

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

215

Complicated oesophageal duplication cyst in a 55-year-old man: a rare case from Pakistan

Arham Amir Khawaja1, Arif Javaid1, Haseeb Mehmood Qadri2

  • 1Department of General Surgery and Surgical Oncology, Shaikh Zayed Medical Complex, Lahore, Pakistan.

JPMA. the Journal of the Pakistan Medical Association
|July 23, 2025
PubMed

Insights

Oesophageal duplication cysts (ODCs) are rare congenital anomalies, particularly in adults. This case highlights surgical management for a large ODC presenting with significant symptoms.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Developmental Biology

Background:

  • Duplication cysts are congenital anomalies found along the gastrointestinal tract.
  • Oesophageal duplication cysts (ODCs) are rare, especially in adults, often presenting with non-specific symptoms.

Observation:

  • A 55-year-old male presented with haematemesis, dysphagia, and weight loss.
  • Computed tomography confirmed a large Oesophageal Duplication Cyst.
  • Surgical management involved subtotal oesophagectomy with gastric pull-up.

Findings:

  • Histopathology confirmed a foregut duplication cyst.
  • The patient experienced post-operative atelectasis but recovered fully.
  • Adult ODC requires exclusion of malignancy and other mediastinal lesions.

Implications:

  • Complete surgical excision is the optimal treatment for symptomatic or large ODCs.
  • Early diagnosis and management are crucial to prevent complications.
  • This case underscores the importance of considering ODC in adult patients with relevant symptoms.

Keywords:
Oesophageal cyst, Oesophagectomy, Dysphagia, Jejunostomy, Pakistan.

More Related Videos

Robotic Taj Mahal Hepatectomy for Hilar Cholangiocarcinoma09:19

Robotic Taj Mahal Hepatectomy for Hilar Cholangiocarcinoma

Published on: July 14, 2022

3.6K
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

5.9K

Related Concept Videos

Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
161
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
150
Barrett Esophagus-I: Introduction01:21

Barrett Esophagus-I: Introduction

Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
211
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
312
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
171
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
272