Congenital Esophageal Cyst Research Articles

Erratum:Congenital esophageal cyst causing lung abscess-case report and analysis of 165 cases in japanese literature [The Journal of the Japanese Association for Chest Surgery Vol. 20 (2006) , No. 7 pp.965-969

Erratum:Congenital esophageal cyst causing lung abscess-case report and analysis of 165 cases in japanese literature [The Journal of the Japanese Association for Chest Surgery Vol. 20 (2006) , No. 7 pp.965-969

肺膿瘍を合併した先天性食道嚢腫の１例―本邦報告１６５例の臨床病理学的検討も含めて―

患者は5歳女児．発熱，咳嗽を主訴に受診し肺炎の診断で入院となった．精査にて縦隔嚢腫の圧排による右上葉気管支閉塞に起因した肺膿瘍と診断した．肺膿瘍が改善することを期待して，嚢腫摘出術を施行した．嚢腫は食道嚢腫であった．しかし，肺膿瘍が改善しないため，術後14病日に右上葉切除術を追加した．術後経過は良好であった．自験例も含めた食道嚢腫本邦報告165例を検討した．年齢，症状の有無ともに判明していた137例中，有症状者は80例（58.4％），101症状であった．小児例（15歳未満）での有症状者は24例（64.9％），32症状，成人（15歳以上）では56例（56％），69症状であった．小児例では大部分が呼吸器症状（87.5％）であったのに対し，成人例では消化器症状が73.2％と多く，症状に大きな違いがみられた．肺膿瘍を合併した症例は3例のみ（5，7，18歳）であり本症例は極めて稀な症例と思われた．

De-epithelialization for Esophageal Cyst by Video-Assisted Thoracoscopic Surgery Monitored by Esophagoscopy

In a 26-year-old male a congenital esophageal cyst was de-epithelialized using electro-cauterization via video-assisted thoracoscopic surgery (VATS) together with esophagoscopy. As the cyst adhered firmly to the esophageal muscle layer and mucosa, partial excision of the cyst and burning up of the cystic mucosa by electro-cauterization was performed to prevent esophageal mucosal perforation and postoperative esophageal dysmotility. Intraoperative video esophagoscopic monitoring enabled esophageal mucosal perforation to be avoided. Postoperative barium esophagography revealed good esophageal motility, and the patient showed no symptoms of esophageal dysmotility. We conclude that de-epithelialization for congenital esophageal cysts using VATS together with esophagoscopy is a minimally damaging and reasonable curative procedure without postoperative complications.

A CASE REPORT OF CONGENITAL ESOPHAGEAL CYST

A case of congenital esophageal cyst in the posterior mediastinum is reported with a review of the literature. A 42-year-old woman was referred to the hospital with an abnormal mass shadow on a chest X-ray film. She had no subjective symptoms, and physical examination revealed no abnormal findings. Esophagograph showed the compression of the lower esophageal lumen. Contrast computed tomography scan showed no enhancement of the tumor. On the T1-weighted or T2-weighted MR image, the tumor was visualized as hyperintense mass. Operation was performed under a diagnosis of posterior mediastinal cyst. The excised tumor did not communiate with the trachea and bronchus, but partially owned its wall jointly with the esophagus. It was 20×20×18mm in size and a section showed a single room cyst. Histologically, the cyst wall was lined with ciliated columnar epithelium, and composed of double muscular layers without cartilage. The tumor was diagnosed as congenital esophageal cyst.

A case report of abdominal congenital esophageal cyst in adult

A case report of abdominal congenital esophageal cyst in adult

Imaging of congenital esophageal cysts in adults : Bondestam S, Salo JA, Salonen OLM, Lamminen AE. (Department of Diagnostic Radiology, Meilahti Hospital, SF-00290 Helsinki, Finland) Gastroinest Radiol 1990; 15:279–281

Imaging of congenital esophageal cysts in adults : Bondestam S, Salo JA, Salonen OLM, Lamminen AE. (Department of Diagnostic Radiology, Meilahti Hospital, SF-00290 Helsinki, Finland) Gastroinest Radiol 1990; 15:279–281

Imaging of congenital esophageal cysts in adults

The radiologic imaging of esophageal cysts (EC) in adults is described. These rare cysts, often detected incidentally on routine chest radiographs, seldom produce symptoms, but they may cause precordial sensations, arrhythmias, and dysphagia. They may also bleed and become malignant. As surgical excision is the treatment of choice, the preoperative diagnosis must be exact. For this, magnetic resonance imaging (MRI) or endoscopic ultrasound seem to be the imaging methods of choice even if a plausible diagnosis can be advanced on computed tomography (CT). Chest x-ray or esophagus roentgenogram have little differential diagnostic value.

Congenital Esophageal Cysts in Adults

Sixteen adult patients with congenital esophageal cysts were operated on between 1957 and 1979. Pre-operatively, 7 patients (44%) were asymptomatic and the cyst was found incidentally on a routine chest roentgenogram. Esophageal symptoms were present in only 3 patients (19%), whereas most symptomatic patients had precordial sensations or arrhythmias. A correct preoperative diagnosis was made in only 1 patient. After enucleation of the cyst, preoperative symptoms were alleviated in all patients and short-term results were excellent. However, long-term follow-up 13.2 ± 5.6 (± standard deviation) years later revealed moderate reflux in 9 (64%) of the surviving 14 patients. During esophagoscopy, macroscopic esophagitis was found in 12 (92%) of 13 patients. On histological examination of specimens obtained by forceps biopsy, esophagitis was present in 10 (77%) of 13 patients and included Barrett esophagus in 2. We conclude that, despite excellent early results, long-term follow-up of patients who undergo operation for congenital esophageal cysts is indicated because of the increased incidence of reflux esophagitis.

Congenital esophageal cysts: Case report and review of literature: J.L. Arbona, J.G. Figueroa Fazzi, and J. Mayoral. Am J Gastroenterol 79:177–182 (March), 1984

Congenital esophageal cysts: Case report and review of literature: J.L. Arbona, J.G. Figueroa Fazzi, and J. Mayoral. Am J Gastroenterol 79:177–182 (March), 1984