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Thorac Cardiovasc Surg 2013; 61(06): 502-504
DOI: 10.1055/s-0032-1322617
Special Report
Georg Thieme Verlag KG Stuttgart · New York

Laparoscopic Excision of Gastric Mass Yields Intra-abdominal Esophageal Duplication Cyst

Castigliano Bhamidipati
1   Department of Surgery, State University of New York Upstate Medical University, Syracuse, New York, United States
,
Matthew Smeds
1   Department of Surgery, State University of New York Upstate Medical University, Syracuse, New York, United States
,
Elisabeth Dexter
2   Roswell Park Cancer Institute, Buffalo, New York, United States
,
Margaret Kowalski
3   Veterans Affairs Hospital, Syracuse, New York, United States
,
Sapna Bazaz
3   Veterans Affairs Hospital, Syracuse, New York, United States
› Author Affiliations
Further Information

Publication History

03 March 2012

21 March 2012

Publication Date:
21 November 2012 (online)

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Abstract

A 69-year-old man with presumed solid gastric mass determined by computed tomography, endoscopic ultrasonography, and fine-needle aspiration underwent videoscopic excision of what resulted in a cystic structure consistent with intra-abdominal esophageal duplication cyst. Esophageal duplication cysts are rare congenital lesions that are difficult to diagnose. They seldom occur entirely below the diaphragm, and occurrence in adults is unusual. Only six such cases are reported in the literature. When diagnosis is made, treatment decisions are not always straight forward, although excision is frequently pursued. The current case describes this unique finding and presents laparoscopic excision as a safe treatment alternative.

Keywords

duplication cyst - esophagus - videoscopy
 

  • References

  • 1 Arbona JL, Fazzi JG, Mayoral J. Congenital esophageal cysts: case report and review of literature. Am J Gastroenterol 1984; 79 (3) 177-182
    PubMedGoogle Scholar
  • 2 Kim YW, Sohn TI, Shim HS, Kim CB. Intra-abdominal esophageal duplication cyst in an adult. Yonsei Med J 2005; 46 (6) 859-861
    CrossrefPubMedGoogle Scholar
  • 3 Vijayaraghavan R, Belagavi CS. True giant intra-abdominal esophageal cyst. Indian J Gastroenterol 2002; 21 (5) 198-199
    PubMedGoogle Scholar
  • 4 Kin K, Iwase K, Higaki J , et al. Laparoscopic resection of intra-abdominal esophageal duplication cyst. Surg Laparosc Endosc Percutan Tech 2003; 13 (3) 208-211
    CrossrefPubMedGoogle Scholar
  • 5 Neo EL, Watson DI, Bessell JR. Acute ruptured esophageal duplication cyst. Dis Esophagus 2004; 17 (1) 109-111
    CrossrefPubMedGoogle Scholar
  • 6 Agaimy A, Wünsch PH. True smooth muscle neoplasms of the gastrointestinal tract: morphological spectrum and classification in a series of 85 cases from a single institute. Langenbecks Arch Surg 2007; 392 (1) 75-81
    CrossrefPubMedGoogle Scholar
  • 7 Hirose S, Clifton MS, Bratton B , et al. Thoracoscopic resection of foregut duplication cysts. J Laparoendosc Adv Surg Tech A 2006; 16 (5) 526-529
    CrossrefPubMedGoogle Scholar
  • 8 Noguchi T, Hashimoto T, Takeno S, Wada S, Tohara K, Uchida Y. Laparoscopic resection of esophageal duplication cyst in an adult. Dis Esophagus 2003; 16 (2) 148-150
    CrossrefPubMedGoogle Scholar
  • 9 Zdenek K, Vladimír P, Markéta H, Petr K. Partial laparoscopic resection of inflamed mediastinal esophageal duplication cyst. Surg Laparosc Endosc Percutan Tech 2007; 17 (4) 311-312
    CrossrefPubMedGoogle Scholar
  • 10 Joyce AM, Zhang PJ, Kochman ML. Complete endoscopic resection of an esophageal duplication cyst (with video). Gastrointest Endosc 2006; 64 (2) 288-289
    CrossrefPubMedGoogle Scholar
  • 11 Will U, Meyer F, Bosseckert H. Successful endoscopic treatment of an esophageal duplication cyst. Scand J Gastroenterol 2005; 40 (8) 995-999
    CrossrefPubMedGoogle Scholar