Skip to main content
Erschienen in: European Surgery 5/2020

05.08.2020 | case report

Chronic gastroesophageal reflux disease secondary to a distal esophageal duplication cyst associated with a hiatal hernia

verfasst von: Jorge Alberto Saldaña-Rodriguez, Mauricio Gonzalez-Urquijo, Diana Padilla-Armendariz, H. Alejandro Rodriguez, Adolfo Leyva-Alvizo

Erschienen in: European Surgery | Ausgabe 5/2020

Einloggen, um Zugang zu erhalten

Summary

Background

Esophageal duplication cysts are asymptomatic gastrointestinal anomalies that are infrequently seen, usually diagnosed as a secondary finding. In adults, they can be associated with gastroesophageal reflux disease (GERD) and are usually detected with a radiologic study.

Methods

We report the case of a 55-year-old woman with a 2-year history of pyrosis, regurgitation, coughing fits, and dysphagia. An esophagogastroduodenoscopy (EGD) was done, detecting a subepithelial lesion at the gastroesophageal junction with a type I hiatal hernia; endoscopic ultrasound and a CT scan were performed, showing a distal esophageal mass that generated a narrowing of the esophageal diameter with proximal dilation.

Results

An esophageal duplication cyst was diagnosed. Excision of the mass, hiatoplasty, and gastric fundoplication were auspiciously achieved by an abdominal transhiatal approach. A year after the procedure, the patient is asymptomatic and without complications.

Conclusion

If a patient presents with epigastric pain and GERD-like symptoms, with no benefit from medical treatment, an esophageal duplication cyst must be a differential diagnosis. This can be confirmed with a CT scan and endoscopic ultrasound, with surgery being the best treatment for this disease
Literatur
4.
Zurück zum Zitat Nasr B, Derbel F, Ben Mabrouk M, et al. Complicated esophageal duplication cyst in adult: a case report and review of the literature. J Gastroenterol Hepatol Res. 2015;4(10):1801–4.CrossRef Nasr B, Derbel F, Ben Mabrouk M, et al. Complicated esophageal duplication cyst in adult: a case report and review of the literature. J Gastroenterol Hepatol Res. 2015;4(10):1801–4.CrossRef
5.
Zurück zum Zitat Gupta V, Yadav SK. Genito-perineal raphe cyst in an infant: a case report and review of literature. Kuwait Med J. 2015;47(1):52–3. Gupta V, Yadav SK. Genito-perineal raphe cyst in an infant: a case report and review of literature. Kuwait Med J. 2015;47(1):52–3.
6.
Zurück zum Zitat Liu R, Adler DG. Duplication cysts: diagnosis, management, and the role of endoscopic ultrasound. Endosc Ultrasound. 2014;3(3):152–60.CrossRef Liu R, Adler DG. Duplication cysts: diagnosis, management, and the role of endoscopic ultrasound. Endosc Ultrasound. 2014;3(3):152–60.CrossRef
7.
Zurück zum Zitat Obasi PC, Hebra A, Varela JC. Excision of esophageal duplication cysts with robotic-assisted thoracoscopic surgery. J Soc Laparoendosc Surg. 2011;15(2):244–7.CrossRef Obasi PC, Hebra A, Varela JC. Excision of esophageal duplication cysts with robotic-assisted thoracoscopic surgery. J Soc Laparoendosc Surg. 2011;15(2):244–7.CrossRef
8.
Zurück zum Zitat Arbona JL, Figueroa Fazzi JG, Mayoral J. Congenital esophageal cysts: case report and review of literature. Am J Gastroenterol. 1984;79:177–82.PubMed Arbona JL, Figueroa Fazzi JG, Mayoral J. Congenital esophageal cysts: case report and review of literature. Am J Gastroenterol. 1984;79:177–82.PubMed
9.
Zurück zum Zitat Ren HX, Duan LQ, Wu XX, et al. Laparoscopic resection of gastric duplication cysts in newborns: a report of five cases. BMC Surg. 2017;17(1):1–4.CrossRef Ren HX, Duan LQ, Wu XX, et al. Laparoscopic resection of gastric duplication cysts in newborns: a report of five cases. BMC Surg. 2017;17(1):1–4.CrossRef
10.
Zurück zum Zitat Shiozaki A, Fujiwara H, Murayama Y, et al. Hand-assisted laparoscopic transhiatal approach for mediastinal esophageal duplication cyst resection. Esophagus. 2012;9(4):247–51.CrossRef Shiozaki A, Fujiwara H, Murayama Y, et al. Hand-assisted laparoscopic transhiatal approach for mediastinal esophageal duplication cyst resection. Esophagus. 2012;9(4):247–51.CrossRef
11.
Zurück zum Zitat Duan X, Cui Y, He Y, et al. Acute attack of recurrent esophageal duplication cyst in an adult: case report and literature review. J Thorac Dis. 2018;10(5):E335–E9.CrossRef Duan X, Cui Y, He Y, et al. Acute attack of recurrent esophageal duplication cyst in an adult: case report and literature review. J Thorac Dis. 2018;10(5):E335–E9.CrossRef
13.
Zurück zum Zitat Thakur VK, Kumar V, Hasan Z, et al. Cervical oesophageal duplication cyst: a case report. Research & reviews. J Surg. 2018;7(2):15–7. Thakur VK, Kumar V, Hasan Z, et al. Cervical oesophageal duplication cyst: a case report. Research & reviews. J Surg. 2018;7(2):15–7.
15.
Zurück zum Zitat Wang W, Ni Y, Zhang LW, et al. A case report of para-esophageal bronchogenic cyst with esophageal communication. J Cardiothorac Surg. 2012;7(1):3–7.CrossRef Wang W, Ni Y, Zhang LW, et al. A case report of para-esophageal bronchogenic cyst with esophageal communication. J Cardiothorac Surg. 2012;7(1):3–7.CrossRef
17.
Zurück zum Zitat Cheng T‑Y, Chen J‑H, Chen C‑C, et al. Esophageal duplication cyst presenting as a submucosal tumor: diagnosis by endoscopic ultrasound-guided. Endoscopy. 2006;38:30–1.CrossRef Cheng T‑Y, Chen J‑H, Chen C‑C, et al. Esophageal duplication cyst presenting as a submucosal tumor: diagnosis by endoscopic ultrasound-guided. Endoscopy. 2006;38:30–1.CrossRef
18.
Zurück zum Zitat Ahmad JI, Al Nuaimi A, Al Hamoudi B, et al. Distal esophageal duplication cyst with gastro-esphageal reflux disease a rare association and a management challenge. J Coll Physicians Surg Pak. 2016;26(2):148–50. Ahmad JI, Al Nuaimi A, Al Hamoudi B, et al. Distal esophageal duplication cyst with gastro-esphageal reflux disease a rare association and a management challenge. J Coll Physicians Surg Pak. 2016;26(2):148–50.
19.
Zurück zum Zitat Wiechowska-Kozłowska A, Wunsch E, Majewski M, et al. Esophageal duplication cysts: endosonographic findings in asymptomatic patients. World J Gastroenterol. 2012;18(11):1270–2.CrossRef Wiechowska-Kozłowska A, Wunsch E, Majewski M, et al. Esophageal duplication cysts: endosonographic findings in asymptomatic patients. World J Gastroenterol. 2012;18(11):1270–2.CrossRef
20.
Zurück zum Zitat Kolomainen D, Hurley PR, Ebbs SR. Esophageal duplication cyst: case report and review of the literature. Dis Esophagus. 1998;11(1):62–5.CrossRef Kolomainen D, Hurley PR, Ebbs SR. Esophageal duplication cyst: case report and review of the literature. Dis Esophagus. 1998;11(1):62–5.CrossRef
22.
Zurück zum Zitat Mou Y, Wen D, Liu Q, et al. Endoscopic resection of an esophageal duplication cyst with spraying of anhydrous alcohol. Endoscopy. 2015;47:E348–E9.CrossRef Mou Y, Wen D, Liu Q, et al. Endoscopic resection of an esophageal duplication cyst with spraying of anhydrous alcohol. Endoscopy. 2015;47:E348–E9.CrossRef
23.
Zurück zum Zitat Agarwal P, Bagdi R. Thoracoscopic removal of oesophageal duplication cyst. J Minim Access Surg. 2011;7(2):147–50.CrossRef Agarwal P, Bagdi R. Thoracoscopic removal of oesophageal duplication cyst. J Minim Access Surg. 2011;7(2):147–50.CrossRef
Metadaten
Titel
Chronic gastroesophageal reflux disease secondary to a distal esophageal duplication cyst associated with a hiatal hernia
verfasst von
Jorge Alberto Saldaña-Rodriguez
Mauricio Gonzalez-Urquijo
Diana Padilla-Armendariz
H. Alejandro Rodriguez
Adolfo Leyva-Alvizo
Publikationsdatum
05.08.2020
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 5/2020
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-020-00654-z

Weitere Artikel der Ausgabe 5/2020

European Surgery 5/2020 Zur Ausgabe