Mediastinal Gastroenteric Duplication Cyst Presenting as Recurrent Retropharyngeal Abscess in a Child

Pushpa Gurudas Kini,Deepak Nayak M,Priyanka Kini,Ganesh S Kamath,Sandeep Kumar,Karen Moras

doi:10.3126/jnps.v41i2.33175

Abstract

Mediastinal duplication cyst is a rare cause of mediastinal mass in early infancy. Recurrent retropharyngeal abscess is an uncommon presentation of mediastinal duplication cyst. We report a case of mediastinal duplication cyst in a nine year old girl who presented with recurrent retropharyngeal abscess. Surgical excision was performed successfully. The mode of clinical presentation and management has been discussed.

Highlights

Gastro-enteric duplication cysts are often diagnosed in the newborn period or early infancy and are rarely seen in the older age group
We report a nine year old girl with mediastinal gastro-enteric duplication cyst who presented with recurrent retropharyngeal abscess
The term neuro-enteric cyst is used to describe foregut duplication cyst associated with vertebral anomalies.[3]

Summary

INTRODUCTION

Gastro-enteric duplication cysts are often diagnosed in the newborn period or early infancy and are rarely seen in the older age group. The most common clinical presentation is mediastinal mass with or without respiratory distress.[1] We report a nine year old girl with mediastinal gastro-enteric duplication cyst who presented with recurrent retropharyngeal abscess. A nine year old girl presented with prominence of the upper part of left chest which was noticed for two weeks. It was associated with fever, pain and redness over the area for three days. MR imaging of neck and chest done at the age of five years confirmed retropharyngeal abscess with prevertebral collection extending from C4 to D7 vertebra and revealed the presence of C3 hemi vertebra with destruction of C4, C5, C6 vertebrae.

DISCUSSION

Findings

CONCLUSIONS