59
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Duplicación esofágica: Caso clínico Translated title: Esophageal duplication: a case report

      case-report

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Se presenta el caso de una lactante de 11 meses con antecedentes de reflujo gastroesofágico y hernia hiatal que ingresa electivamente a la Sección de Cirugía Pediátrica, con el objetivo de realizar una fundoplicatura de Nissen laparoscópica. En el intraoperatorio se detecta una malformación en el tercio distal del esófago. En las imágenes realizadas previamente no se observó una alteración compatible. La lesión fue resecada y luego analizada en anatomía patológica, confirmándose el diagnóstico de una duplicación esofágica.

          Translated abstract

          We report an 11-month infant case, who consults electively to perform a laparoscopic Nissen fundoplication, given her background of gastro-esophageal reflux and hiatal hernia. Intraoperatively, a malformation of the distal third of the esophagus was found. The preoperative images showed no evidence of the lesión. The lesión was resected and sent to anatomopathologic analysis, confirming the diagnosis.

          Related collections

          Most cited references29

          • Record: found
          • Abstract: found
          • Article: not found

          Gastrointestinal tract duplications: clinical, pathologic, etiologic, and radiologic considerations.

          Gastrointestinal tract duplications are uncommon congenital abnormalities. By definition, they are located in or adjacent to the wall of part of the gastrointestinal tract, have smooth muscle in their walls, and are lined by alimentary tract mucosa. The lining mucosa is not necessarily that of the adjacent segment of the gastrointestinal tract. The only clinically important ectopic tissues are gastric mucosa and pancreatic tissue. Although ectopic gastric mucosa is found in duplications at all levels of the gastrointestinal tract, it is most prevalent (43%) in esophageal duplications. Peptic ulcer within this ectopic tissue can account for unusual, often misleading symptoms. Ectopic pancreatic tissue is most common (37%) in gastric duplications and is associated with pancreatitis and elevated amylase levels. Detection of associated vertebral anomalies is a helpful clue in the radiographic diagnosis of duplications. Barium studies usually reveal an intraluminal, intramural, or extrinsic mass, and ultrasonography (US) demonstrates its cystic nature. When US findings are inconclusive, computed tomography can be used to show the true nature, location, and extent of the lesion, as well as associated vertebral anomalies and possible other duplications. Technetium-99m pertechnetate scintigraphy provides definitive evidence of a duplication when it contains ectopic gastric mucosa and is particularly useful for suspected esophageal, duodenal, and small bowel lesions.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Congenital esophageal cysts: case report and review of literature.

            Congenital cysts are unusual findings in the esophagus. We present a case report and discussion of the literature regarding this subject. We reviewed and classified 91 reported cases of congenital esophageal cysts. The embryology, distribution, and symptoms of each type of esophageal cyst are emphasized. Diagnosis of these tumors is quite difficult and the treatment is surgical. A brief discussion of acquired esophageal cysts and neuroenteric cysts is included for the sake of completeness.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Bronchogenic cysts and esophageal duplications: common origins and treatment.

              Bronchogenic cysts and esophageal duplications are usually considered as separate foregut malformations. Yet, both are thought to arise from the same embryological event, division of the embryonic foregut, and they share common histological characteristics, often making their clinical differentiation difficult. A retrospective review of the cases of 68 children treated at a single institution between 1937 and 1995 was performed. Thirty children were girls (44%) and 38 were boys (56%). Ages ranged from newborn to 24 years. Complete records were available in all children. Fourteen of these 68 children were asymptomatic. Respiratory (54%) or gastrointestinal (13%) symptoms were the most frequent presenting problems. The majority of children were treated by resection of the cyst (52 of 68; 76%), while 9 of 68 (13%) required lobectomy for intraparenchymal lesions. Three children underwent marsupialization, with all of these children requiring additional surgery for recurrent disease. Five children (5 of 68; 7%) had multiple cysts. The mortality rate from this series was 10% (7 of 68). Two deaths were caused by perioperative exsanguination, one related to bleeding from a cyst lined with gastric mucosa with subsequent ulceration and hemorrhage into the esophagus. Two deaths occurred secondary to septic complications, one from an esophageal leak and the other from an intraparenchymal abscess. Two deaths were caused by respiratory failure; one was unrelated (SIDS). The majority of cysts found on histological review were lined by respiratory epithelium or bronchial glands (51 of 68; 75%). Gastrointestinal epithelium was present in cysts of nine children, only two of which were clinically diagnosed as esophageal duplications. Twenty-one cases (21 of 68; 31%) were classified as esophageal duplications based on the intramural location of the cyst, yet 15 of 21 (71%) contained respiratory epithelium, substantiating the hypothesis of the common origin of these lesions. The histological similarity and anatomic proximity of the "bronchogenic cysts" and the intramural "esophageal duplications" supports their common origin. The possible complications of bleeding, ulceration, infection, and obstruction of the esophagus or airway, should generally lead to prompt resection.
                Bookmark

                Author and article information

                Journal
                rchcir
                Revista chilena de cirugía
                Rev Chil Cir
                Sociedad de Cirujanos de Chile (Santiago, , Chile )
                0718-4026
                August 2010
                : 62
                : 4
                : 395-398
                Affiliations
                [03] Santiago orgnameHospital Clínico Pontificia Universidad Católica de Chile orgdiv1Departamento de Anatomía Patológica Chile
                [02] Santiago orgnamePontificia Universidad Católica de Chile orgdiv1Facultad de Medicina Chile
                [01] Santiago orgnameHospital Clínico Pontificia Universidad Católica de Chile orgdiv1División de Cirugía orgdiv2Sección Cirugía Pediátrica Chile
                Article
                S0718-40262010000400013 S0718-4026(10)06200400013
                10.4067/S0718-40262010000400013
                ec0b0913-bbc8-487f-b7e6-699511a8e152

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 05 January 2010
                : 28 October 2009
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 19, Pages: 4
                Product

                SciELO Chile

                Categories
                CASOS CLÍNICOS

                esophagus malformation,Esophageal cyst,malformación esofágica,Duplicación esofágica

                Comments

                Comment on this article