Oesophageal duplication cysts a case report on diagnostic and therapeutic challenge
Journal Title: Stanley Medical Journal - Year 2016, Vol 3, Issue 3
Abstract
Oesophageal duplication cysts account for a very small percentage of benign oesophageal tumours and are infrequently symptomatic. Chest pain and dysphagia were the most common complaints in symptomatic patients affected by the duplication cysts. Patients with oesophageal cysts seek treatment when a complication such as bleeding or infection causes these cysts to enlarge. Methods: We report a patient who reported to the Medical Gastroenterology department of Stanley medical college hospital with complains of dyspepsia Clinical Picture: An otherwise healthy 35 -year-old man presented with a 3-week history of dyspepsia. He reported no history of respiratory symptoms or weight loss. The physical examination was normal and his blood pressure was 110/80. Laboratory data were within normal limits. The electrocardiogram did not show any abnormality. Endoscopy revealed oesophageal sub mucosal lesion. MRI scan of the thorax further demonstrated a cystic structure continuous with the oesophageal wall. We performed Endoscopic ultra sound imaging (EUS) which confirmed duplication cysts, described as round, anechoic lesions arising from the third hyper echoic layer. His symptoms were improved with proton pump inhibitors .We advised annual endoscopic follow up. Result: In our case, upper GI endoscopy revealed the sub mucosal lesion of the oesophagus, confirmed by endoscopic ultrasound. Asymptomatic oesophageal cyst patient could be regularly followed up.
Authors and Affiliations
Murali Ramamoorthy, Manimaran M, Chitra S, Malarvizhi M, Venkateswaran A. R, Revathy M. S, Tony Fredrick, Yuvaraj Jayaraman
Keywords
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