Esophageal duplication cyst causing megaesophagus in a young woman presenting with dysphagia

Carbonari, Augusto; Frota, Marcelo; Colaiácovo, Rogério; Rossini, Lucio G.; Nakamura, Romeu

doi:10.1055/s-0034-1365288

Cited by 2 publications

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“…Leiomyoma is the main type of submucosal tumor (SMTs) in the esophagus and its presence may manifests itself in dysphagia [ 6 ]. Interestingly, achalasia misdiagnosis in SMT-mediated dysphagia has been reported multiple times in previous studies [ 7 , 8 ] and thus this alternate diagnosis should always be in the differential diagnosis even when achalasia-concordant manometry is available. Moreover, clues to distinguish achalasia from pseudoachalasia can result from endoscopic ultrasound (EUS) [ 9 ], thus this case supports the use of EUS investigation upon this type of clinical presentation.…”

Section: Discussionmentioning

confidence: 99%

Case report: successful resection of a leiomyoma causing pseudoachalasia at the esophagogastric junction by tunnel endoscopy

et al. 2016

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BackgroundPseudoachalasia is a rare disorder whose presentation strongly resembles idiopathic achalasia.Case presentationHere, we present a case of a 42-year-old female patient with esophageal leiomyoma who was initially diagnosed with achalasia. On endoscopical investigation, however, it became apparent that she had pseudoachalasia as consequence of a leiomyoma at the esophagogastric junction (EGJ). The condition was successfully treated through submucosal tunneling endoscopic resection.ConclusionThis case suggests that submucosal tunneling endoscopic resection is a therapeutic u option for the treatment of pseudoachalasia caused by leiomyoma of EGJ.

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Section: Discussionmentioning

confidence: 99%

Case report: successful resection of a leiomyoma causing pseudoachalasia at the esophagogastric junction by tunnel endoscopy

et al. 2016

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Minimally invasive surgery for adult oesophageal duplication cysts

Surendran

Samuel

Yacob

et al. 2021

Journal of Minimal Access Surgery

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Background: Oesophageal duplication cysts (ODC) are rare in adults. Complete surgical excision is the ideal treatment. Conventionally, it is performed through a thoracotomy. We aimed to study the feasibility and safety of minimally invasive surgery (MIS) in the management of ODC and briefly reviewed the available literature. Materials and Methods: A retrospective study of all adult patients with ODC diagnosed and treated at our tertiary care centre, from 2015 to 2019, was done. All patients were operated on by MIS. Their demographic, clinicopathological, radiological and surgical details and outcomes were analysed. Results: A total of six patients (four females and two males) were diagnosed to have ODC by contrast-enhanced computed tomography. The mean age was 38 ± 4.4 years. The most common presenting complaint was chest pain (50%). Upper gastrointestinal endoscopy was normal in four patients. Endoscopic ultrasound was performed in five patients. In four patients, the cyst was located in the distal third of the oesophagus. The mean size of the cysts was 5.7 ± 2.02 cm. All the patients were operated upon by video-assisted thoracoscopic surgery (VATS). There was no conversion to open surgery. The resection was complete in all but one patient. The mean duration of surgery was 143.3 ± 35 min, and the average blood loss was 58.33 ± 20.4 mL. One patient had an oesophageal staple line leak on the 9 th post-operative day. There was no mortality. The median duration of hospital stay was 7.5 days (range: 3–25 days). Conclusion: MIS is feasible and safe in the management of adult ODC.

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Esophageal duplication cyst causing megaesophagus in a young woman presenting with dysphagia

Cited by 2 publications

References 1 publication

Case report: successful resection of a leiomyoma causing pseudoachalasia at the esophagogastric junction by tunnel endoscopy

Case report: successful resection of a leiomyoma causing pseudoachalasia at the esophagogastric junction by tunnel endoscopy

Minimally invasive surgery for adult oesophageal duplication cysts

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