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Complicated foregut duplication cyst presenting as broncho-oesophageal fistula
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Complicated foregut duplication cyst presenting as broncho-oesophageal fistula
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Journal Article
Complicated foregut duplication cyst presenting as broncho-oesophageal fistula
2025
Overview
Oesophageal duplication cysts are a subtype of foregut cysts, associated with the presence of ectopic gastric mucosa. Gastric acid secreted by this mucosa can lead to complications. We report one such unusual case of complication leading to the formation of broncho-oesophageal fistula in a duplication cyst. A girl in her middle childhood presented with a long-duration cough and multiple respiratory infections. On investigation, a right-sided paraoesophageal air-filled cystic lesion was identified, with a possible communication with the airway, confirmed by an oral contrast study. On further workup, a positive uptake was noted on Meckel’s scan, signifying the presence of ectopic gastric mucosa. The findings were confirmed surgically and on histopathology and were consistent with a duplication cyst with broncho-oesophageal fistula. An unexplained upper respiratory tract symptomatology should mandate imaging, which would enable early detection and appropriate surgical management of such cysts in infancy and childhood.
Publisher
BMJ Publishing Group Ltd,BMJ Publishing Group LTD
Subject
Bronchial Fistula - congenital
/ Bronchial Fistula - diagnosis
/ Bronchial Fistula - diagnostic imaging
/ Cysts
/ Esophageal Cyst - complications
/ Esophageal Fistula - complications
/ Esophageal Fistula - diagnosis
/ Esophageal Fistula - diagnostic imaging
/ Esophageal Fistula - surgery
/ Female
/ Fistula
/ Humans
/ Ostomy
/ Surgery
