Published online Jun 27, 2014. doi: 10.4240/wjgs.v6.i6.112
Revised: April 17, 2014
Accepted: June 10, 2014
Published online: June 27, 2014
Intra-abdominal esophageal duplications are rare entities in adults. They are mostly asymptomatic, but since they can lead to complications surgical excision is advised for all duplication cysts. We present a case of a 20-year-old male with colic-like abdominal pain, mimicking symptoms of cholecystolithiasis. However after cholecystectomy the symptoms were still present. A computed tomography-scan of the abdomen and an endoscopic ultrasound revealed a cyst of the esophagus of 3.0 cm × 2.3 cm in size. Diagnostic laparoscopy was planned, during which we observed a para-esophageal cyst at the gastro-esophageal junction. Laparoscopic excision of this cyst was performed. Pathophysiological examination revealed an esophageal duplication cyst. We report a rare case of a symptomatic intra-abdominal esophageal duplication cyst in an adult. One must consider this diagnosis when more common diagnoses to account for the patient’s symptoms are excluded. Removal of duplication cysts can be done laparoscopically.
Core tip: Intra-abdominal esophageal duplication cysts are rare entities in adults, especially when they are symptomatic. Since these anomalies can lead to complications surgical excision is advised for all of them. We present a case of a 20-year-old male with colic-like abdominal pain, mimicking symptoms of cholecystolithiasis, but caused by an intra-abdominal duplication cyst of the esophagus. The cyst was excised laparoscopically. The procedure was uneventful and the patient was free of symptoms. This case shows that one must consider the diagnosis of a symptomatic intra-abdominal esophageal duplication cyst when more common diagnoses to account for the patient’s symptoms are excluded.