Thoracoscopic excision of foregut duplication cyst: A case report and review of literature

Sinha, Shandip Kumar; Khanolkar, Ashwini; Thakkar, Nirali; Raj, Prince; Kumar, Parveen; Bhalotra, Anju

doi:10.4103/0971-9261.182591

Cited by 5 publications

(8 citation statements)

References 10 publications

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“…In terms of surgical treatment of enteric duplication cysts, complete resection of the duplication cyst is the treatment of choice, due to risk of recurrent attacks of gastrointestinal symptoms or malignant changes. [ 11 ] Elective resection using minimally invasive surgery have shown good outcomes. [ 2 , 11 ] However, in case of long tubular duplication of the colon, subtotal or total colectomy is sometimes inevitable due to a common blood supply with the native bowel.…”

Section: Discussionmentioning

confidence: 99%

“…[ 11 ] Elective resection using minimally invasive surgery have shown good outcomes. [ 2 , 11 ] However, in case of long tubular duplication of the colon, subtotal or total colectomy is sometimes inevitable due to a common blood supply with the native bowel. Also, duplications involving the rectum may require the resection of rectum which could lead to undesirable results in a pediatric patient.…”

Section: Discussionmentioning

confidence: 99%

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Communicating multiple tubular enteric duplication with toxic megacolon in an infant

Jang

Chung

2021

Medicine

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Rationale: Gastrointestinal tract duplication is a rare congenial anomaly which can be found anywhere along the gastrointestinal tract. While many patients are incidentally diagnosed during operation, in some cases it can present with severe gastrointestinal symptoms. In this case report, the patient presented with signs of toxic megacolon leading to rapid aggravation of inflammatory shock. Patient concerns: A 49-day old male infant presented with fever, poor feeding, and severe abdominal distension. Diagnosis: Abdominal ultrasonography was done. During the examination, a foley catheter was inserted through the anus to evaluate bowel patency and enable rectal decompression. The tip of the foley catheter was located in a separate narrower tubular lumen adjacent to the distended rectum. These findings suggested possibility of a tubular duplication cyst of the rectum as the culprit for the bowel obstruction. Interventions: The patient underwent emergency laparotomy. Findings showed multiple tubular intestinal duplications involving the ileum, appendix, cecum, descending colon, sigmoid colon and rectum. The true lumen of the rectosigmoid colon was completely collapsed while the adjacent tubular cyst remained severely distended and stool passage was not possible. Decompression of the sigmoid colon was done with loop colostomy with both the wall of the true bowel and enteric cyst forming the colostomy orifice. Outcomes: After 40 days of postoperative care, the patient was discharged with no immediate complications. Four months after the initial operation, colostomy take-down and transanal rectal common wall division was done. No complications were observed. Lessons: To our knowledge, this is the first case to be reported where a rare presentation of intestinal duplication resulted in an acute presentation toxic megacolon. Such emergency cases can be effectively treated with emergency surgical bowel decompression and elective common wall division.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Communicating multiple tubular enteric duplication with toxic megacolon in an infant

Jang

Chung

2021

Medicine

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“…Open surgical resection via conventional posterolateral thoracotomy has long been the standard approach to the treatment of EDCs; nevertheless, the benefits of the minimally invasive surgical techniques have already been extended to the management of EDCs . An increasing number of publications report satisfactory clinical outcomes with VATS resection of EDCs beyond practicality and safety . Compared to open surgical resection, the VATS approach has been observed to be associated with shorter periods of chest tube drainage and inhospital stays, and lower rates of intraoperative complications, such as tracheal or esophageal injuries …”

Section: Discussionmentioning

confidence: 99%

“…An increasing number of publications report satisfactory clinical outcomes with VATS resection of EDCs beyond practicality and safety . Compared to open surgical resection, the VATS approach has been observed to be associated with shorter periods of chest tube drainage and inhospital stays, and lower rates of intraoperative complications, such as tracheal or esophageal injuries …”

Section: Discussionmentioning

confidence: 99%

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Video‐assisted thoracoscopic excision of esophageal duplication cyst in an adult

Darwish

Izzat

2019

Clinical Case Reports

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Thoracoscopic Resection of a Foregut Duplication Cyst with the Use of a 5-mm Stapling Device in an Infant—A Case Report

Col

Regamey

Szavay

2022

European J Pediatr Surg Rep.

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Esophageal foregut duplication cysts are a rare congenital anomaly predominantly diagnosed in children. With possible growth foregut duplication cysts may cause compression on thoracic or mediastinal structures, respectively. Due to the presence of ectopic gastric mucosa and its potential malignant alteration resection of foregut duplication cysts is recommended. More recently, the use of a thoracoscopic approach for resection has shown to be an advantageous alternative to a conventional open approach. A case of a complete thoracoscopic resection of an esophageal foregut duplication cyst using a 5-mm stapling device is presented.

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Thoracoscopic excision of foregut duplication cyst: A case report and review of literature

Abstract: Thoracoscopy has major advantages over thoracotomy. We report a successful management of foregut duplication cyst thoracoscopically in a child with review of literature.

Cited by 5 publications

References 10 publications

Communicating multiple tubular enteric duplication with toxic megacolon in an infant

Communicating multiple tubular enteric duplication with toxic megacolon in an infant

Video‐assisted thoracoscopic excision of esophageal duplication cyst in an adult

Thoracoscopic Resection of a Foregut Duplication Cyst with the Use of a 5-mm Stapling Device in an Infant—A Case Report

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