Esophageal tubular duplication complicated with intraluminal hematoma: a case report

Abstract

Esophageal tubular duplication is a rare congenital anomaly. We experienced a patient with esophageal tubular duplication who presented with a swallowing difficulty which was aggravated after a gastrofiberscopic examination. Preoperative diagnosis was intramural hematoma of the esophagus due to trauma caused by endoscopy. Surgical specimen revealed that hematoma was located within a duplicated lumen of the esophagus. The radiologic and endoscopic findings are discussed in correlation with its pathology.

Gastrointestinal Images: Complete Tubular Duplication of the Oesophagus in an Adult

“…However, this can sometimes be mistaken for the appearances of oesophageal perforation. 3,7 MRI scanning of the thorax has also been demonstrated as a useful tool in making a diagnosis and differentiating between perforation and duplication. 3,7 It allows visualisation of the entire length of the duplication and any communication that occurs.…”

“…3,7 MRI scanning of the thorax has also been demonstrated as a useful tool in making a diagnosis and differentiating between perforation and duplication. 3,7 It allows visualisation of the entire length of the duplication and any communication that occurs. 3 In this case report, direct vision with upper GI endoscopy made the diagnosis possible.…”

“…6 Con- trast swallow is more specific, which demonstrates a double oesophagus with contrast flowing in both lumens. 7 Highresolution CT can be useful in making a diagnosis. It usually shows a second tubular structure adjacent to the oesophagus.…”

Intramural haematoma of the oesophagus

“…In one particular case the haematoma continued to extend, resulting in oesophageal perforation and a large haemothorax [14]. Other causes for oesophagectomy include perforation during the initial diagnostic endoscopy [24], oesophageal tubular duplication [26] and compression of the mediastinum [9]. Patients have also been treated with endoscopic injection sclerotherapy [27].…”

Duplication tubulaire de l’œsophage chez l’adulte

“…Les formes tubulaires restent exceptionnelles. Il correspond à une gamme de kystes sphériques ou tubulaires, communicants ou non, qui ont en commun les points suivants [2,3] : un contact avec un segment quelconque du tube digestif, allant de la bouche à l'anus ; une paroi musculaire avec 2 couches de fibres musculaires lisses ; une muqueuse gé né ralement de type malpighien, mais parfois gastrique, intestinale, respiratoire, pancré atique ou mixte. L'âge de leur survenue est variable : 25 % au cours du premier mois de la vie, 70 % dans les premières années et 5 % à l'âge adulte.…”