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• W2921930820 abstract "Introduction: Esophageal duplication cyst (EDC) is an unusual mediastinal cyst which commonly presents with pulmonary infection, dyspnea or dysphagia due to compression of adjacent structures during childhood. In very few cases, it can remain asymptomatic until adolescence, eventually needing intervention due to symptoms and complications. We present a rare case of EDC in an adult who was admitted with pneumonia. Case Description:A 57 year old woman with no significant past medical history came to the emergency department with productive cough for one week associated with fever of 102°Fahrenheit. On examination, she had crackles in the right lower lobe of the lung. Her labs were only significant for white blood cell count of 12300 cells/uL. Chest X-ray showed right paratracheal mass and right lower lobe infiltrate. Computed tomography (CT) scan of chest revealed right lower lobe opacities and right large fluid-filled paratracheal cyst compressing esophagus and trachea. Barium swallow examination demonstrated leftward deviation of proximal esophagus without any communication with the cyst. Mediastinal mass was further evaluated by endoscopic ultrasound (EUS) which exhibited a 5cm homogeneous anechoic cystic structure contained within the third layer of esophagus with no blood flow, consistent with an EDC [figure 1]. She was started on Ceftriaxone and Azithromycin for management of community acquired pneumonia with improvement in symptoms over the next three days. On stabilization, she underwent video assisted thoracoscopic resection of the cyst and appeared to be doing well on one month follow up. Discussion: EDC is diagnosed in childhood in up to 80% of the cases and less than 7% remain asymptomatic until adolescence. It can cause local compressive symptoms as well as complications like hemorrhage, rupture into pleura and progression to malignancy. Diagnosis is usually made by EUS which can help in the differentiation of solid from cystic lesions. EDC should be promptly treated in symptomatic patients and resection can be performed through open thoracotomy or video-assisted thoracoscopic surgery. Biopsy and aspiration of the asymptomatic cyst is not recommended because of the potential for complications and cyst infection. Physicians should be aware of this rare condition to facilitate early diagnosis and treatment.1733 Figure 1 No Caption available." @default.
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• W2921930820 date "2018-10-01" @default.
• W2921930820 modified "2023-09-26" @default.
• W2921930820 title "Rare Presentation of Esophageal Duplication Cyst in Adult" @default.
• W2921930820 doi "https://doi.org/10.14309/00000434-201810001-01733" @default.
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