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Revista Colombiana de Gastroenterologia

Print version ISSN 0120-9957

Abstract

RICARDO RAMIREZ, Andrés Mauricio; FERREIRA BOHORQUEZ, Édgar Julián; ARANGO MOLANO, Lázaro Antonio  and  SANCHEZ GIL., Andrés. A case of endoscopic management of an esophageal duplication cyst. Rev Col Gastroenterol [online]. 2018, vol.33, n.2, pp.180-184. ISSN 0120-9957.  http://dx.doi.org/10.22516/25007440.259.

Esophageal duplication cysts are rare congenital anomalies. Most cases are asymptomatic and their diagnoses are often incidental findings. In the past, surgery was considered to be the treatment for these lesions because of the possibility of complications such as hemorrhaging and infections as well as the fear of malignant transformation. However, the extremely low rate of malignancy and the possibility of an inadequate outcomes of surgery have made it necessary to consider other alternatives that taking both risks and benefits of the surgical procedure into account. We report the case of a 56-year-old patient with an endosonographic diagnosis of an esophageal duplication cyst who underwent endoscopic marsupialization of the cyst followed by complete resolution of symptoms, without complications, and with immediate reintegration into daily life.

Endosonography (EUS) has been widely used as a tool for evaluation and diagnosis of duplication cysts. It is the diagnostic method of choice for investigating this pathology since it can distinguish between solid and cystic lesions. The question of whether or not to perform EUS guided fine needle aspiration (FNA) of a lesion suspected of being a duplication cyst is controversial since these lesions can be infected with significant consequences. Nevertheless, EUS-FNA is often required to make a definitive diagnosis that rules out ominous lesions.

Keywords : Cyst; duplication; esophagus; endoscopic management.

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