Complicated oesophageal duplication cyst in a 55-year-old man: a rare case from Pakistan.

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Journal of the Pakistan Medical Association Pub Date : 2025-06-01 DOI:10.47391/JPMA.20017

Arham Amir Khawaja, Arif Javaid, Haseeb Mehmood Qadri, Nuzhat Faqir Hussain, Pashmal Yousaf

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引用次数: 0

Abstract

Duplication cysts are congenital anomalies that arise during early embryonic development. They occur in the small intestine, oesophagus, stomach, and colon. Oesophageal duplication cyst (ODC) is rare among newborns, but even rarer in adults. We report the case of a 55-year-old male with the presenting complaints of haematemesis, dysphagia, and significant weight loss for the past eight months. Clinical examination was unremarkable, except that the patient had pallor. Computed tomography scan confirmed the presence of ODC. Subtotal oesophagectomy with gastric pull-up and sub-aortic oesophagogastrostomy was completed. Histopathology was consistent with foregut duplication cyst. Post-operative period was complicated by left basal atelectasis, and the patient was discharged without long-term sequelae. Adult ODC can be regarded as a diagnosis of exclusion after ruling out oesophageal malignancy, high-grade oesophageal varices, mediastinal masses, and submucosal lesions. Complete surgical excision with restoration of gut continuity is optimal management in complicated, large (>5cm) ODC.

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巴基斯坦55岁男性合并食道重复囊肿1例。

复制囊肿是在胚胎早期发育过程中出现的先天性异常。它们发生在小肠、食道、胃和结肠。食道重复囊肿（ODC）是罕见的新生儿，但更罕见的成人。我们报告的情况下，55岁的男性与目前的投诉呕血，吞咽困难，并在过去的八个月体重明显下降。临床检查除患者面色苍白外，无明显异常。计算机断层扫描证实了ODC的存在。完成次全食管切除术加胃上拉及主动脉下食管胃造口术。组织病理学符合前肠重复囊肿。术后并发左基底张不张，无长期后遗症出院。成人ODC在排除食管恶性肿瘤、高级别食管静脉曲张、纵隔肿块、粘膜下病变后，可视为排除诊断。完全手术切除并恢复肠道连续性是治疗复杂、大（bbb5cm） ODC的最佳方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the Pakistan Medical Association Medicine-General Medicine

CiteScore

1.10

自引率

11.10%

发文量

983

审稿时长

3-6 weeks

期刊介绍： Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.