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Case 36 - Duplication cyst

Published online by Cambridge University Press:  07 October 2011

Thomas Hartman
Affiliation:
Mayo Clinic, Rochester
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Summary

Imaging description

A smoothly marginated, low-attenuation mass adjacent to the esophagus that does not enhance with intravenous contrast material is typically an esophageal duplication cyst (Figures 36.1 and 36.2). Sometimes the contents of these cysts are of intermediate or high density (Figure 36.3), making them more difficult to distinguish from solid masses [1]. Pre- and post-contrast-enhanced CT may be helpful to distinguish an intermediate density cyst from a solid mass. In cases that are indeterminate by CT, endoscopic ultrasound is the most direct means of distinguishing between solid and cystic masses of the esophageal wall [2, 3].

Importance

Esophageal duplication cysts are foregut malformation cysts. They are benign. The majority of duplication cysts are diagnosed in children.

Type
Chapter
Information
Pearls and Pitfalls in Thoracic Imaging
Variants and Other Difficult Diagnoses
, pp. 90 - 91
Publisher: Cambridge University Press
Print publication year: 2011

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References

Jeung, MYGasser, BGangi, AImaging of cystic masses of the mediastinumRadiographics 2002 22 S79CrossRefGoogle ScholarPubMed
Banner, KHelft, SKadam, JAn unusual cause of dysphagia in a young woman: esophageal duplication cystGastrointest Endosc 2008 68 793CrossRefGoogle Scholar
Versleijen, MWJDrenth, JPHNagengast, FM.A case of esophageal duplication cyst with a 13-year follow-up periodEndoscopy 2005 37 870CrossRefGoogle ScholarPubMed
Naguchi, THashimoto, TTakeno, SLaparoscopic resection of esophageal duplication cyst in an adultDis Esophagus 2003 16 148CrossRefGoogle Scholar

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