Published online Jan 26, 2020. doi: 10.12998/wjcc.v8.i2.353
Peer-review started: August 30, 2019
First decision: November 9, 2019
Revised: December 11, 2019
Accepted: December 21, 2019
Article in press: December 21, 2019
Published online: January 26, 2020
Esophageal bronchogenic cyst (EBC) is a rare congenital disease that is difficult to diagnose preoperatively, and treatment remains controversial.
We report a 53-year-old Chinese woman hospitalized in our hospital following the discovery of a submucosal protruding mass of the esophagus by upper endoscopy. A preliminary diagnosis of EBC was made by endoscopic ultrasonography (EUS), and treatment was accomplished by endoscopic submucosal tunnel dissection (ESTD). The pathological results verified the diagnosis. No scar changes or cystic lesion within the original lesion were found under EUS after a 3-mo follow-up.
EUS is valuable for the preliminary diagnosis of EBC and surveillance. ESTD is a safe and effective treatment for EBC. Further evaluation of complications and long-term follow-ups are required.
Core tip: Bronchogenic cyst is a rare congenital lesion that arises from malformation of the primitive foregut. Esophageal bronchogenic cyst (EBC) is uncommon and is rarely reported in recent literature, with difficult preoperative diagnosis and controversial treatment. We report a patient with EBC. Endoscopic ultrasonography can serve as a valuable tool for preliminary diagnosis, differential diagnosis and surveillance. Endoscopic submucosal tunneling dissection is a safe and effective method for the treatment of EBCs.