Thorac Cardiovasc Surg 2013; 61(06): 502-504
DOI: 10.1055/s-0032-1322617
Special Report
Georg Thieme Verlag KG Stuttgart · New York

Laparoscopic Excision of Gastric Mass Yields Intra-abdominal Esophageal Duplication Cyst

Castigliano Bhamidipati
1   Department of Surgery, State University of New York Upstate Medical University, Syracuse, New York, United States
,
Matthew Smeds
1   Department of Surgery, State University of New York Upstate Medical University, Syracuse, New York, United States
,
Elisabeth Dexter
2   Roswell Park Cancer Institute, Buffalo, New York, United States
,
Margaret Kowalski
3   Veterans Affairs Hospital, Syracuse, New York, United States
,
Sapna Bazaz
3   Veterans Affairs Hospital, Syracuse, New York, United States
› Author Affiliations
Further Information

Publication History

03 March 2012

21 March 2012

Publication Date:
21 November 2012 (online)

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Abstract

A 69-year-old man with presumed solid gastric mass determined by computed tomography, endoscopic ultrasonography, and fine-needle aspiration underwent videoscopic excision of what resulted in a cystic structure consistent with intra-abdominal esophageal duplication cyst. Esophageal duplication cysts are rare congenital lesions that are difficult to diagnose. They seldom occur entirely below the diaphragm, and occurrence in adults is unusual. Only six such cases are reported in the literature. When diagnosis is made, treatment decisions are not always straight forward, although excision is frequently pursued. The current case describes this unique finding and presents laparoscopic excision as a safe treatment alternative.