Open AccessIntra-abdominal esophageal duplication cyst: A case report and review of the literature
Author(s) -
P. S. S. Castelijns,
Karlijn Woensdregt,
Brigiet M. Hoevenaars,
Grard A. P. Nieuwenhuijzen
Publication year - 2014
Publication title -
world journal of gastrointestinal surgery
Language(s) - English
Resource type - Journals
ISSN - 1948-9366
DOI - 10.4240/wjgs.v6.i6.112
Subject(s) - medicine , cyst , gene duplication , asymptomatic , abdomen , surgery , esophagus , abdominal pain , cholecystectomy , laparoscopy , radiology , biochemistry , chemistry , gene
Intra-abdominal esophageal duplications are rare entities in adults. They are mostly asymptomatic, but since they can lead to complications surgical excision is advised for all duplication cysts. We present a case of a 20-year-old male with colic-like abdominal pain, mimicking symptoms of cholecystolithiasis. However after cholecystectomy the symptoms were still present. A computed tomography-scan of the abdomen and an endoscopic ultrasound revealed a cyst of the esophagus of 3.0 cm × 2.3 cm in size. Diagnostic laparoscopy was planned, during which we observed a para-esophageal cyst at the gastro-esophageal junction. Laparoscopic excision of this cyst was performed. Pathophysiological examination revealed an esophageal duplication cyst. We report a rare case of a symptomatic intra-abdominal esophageal duplication cyst in an adult. One must consider this diagnosis when more common diagnoses to account for the patient's symptoms are excluded. Removal of duplication cysts can be done laparoscopically.