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Journal of Gastrointestinal Surgery

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01-08-2010 | GI Image

Gastrointestinal Images: Complete Tubular Duplication of the Oesophagus in an Adult

Authors: Trystan M. Lewis, Emmanouil Zacharakis, Jonathan Hoare, Sanjay Purkayastha, George B. Hanna

Published in: Journal of Gastrointestinal Surgery | Issue 8/2010

Abstract

Introduction

Duplication of the oesophagus is a rare congenital abnormality that usually presents in children. Presentation in adults is extremely rare.

Case History

We report a case of a19-year-old gentleman presenting with general gastrointestinal symptoms of pain and dysphagia. Diagnosis was made with CT and contrast studies, demonstrating complete tubular duplication of the oesophagus with communications at both ends of the duplication. The patient was managed conservatively.

Discussion

We describe the difficulty in diagnosing these rare congenital abnormalities. We recommend that with a multi-disciplinary approach, conservative management can be considered.

Puligandla PS, Nguyen LT, St-Vil D, et al. GDs. J Pediatr Surg 2003;38:740–744.CrossRefPubMed

Parambath AN, Saleem K. A rare cause of dysphagia. Eur J Radiol Extra;In Press, Corrected Proof.

Cheynel N. Tubular duplication of the esophagus. Contribution of magnetic resonance imaging in anatomical analysis before surgery. Surg Radiol Anat 2001;22:289–291.CrossRef

Phadke AY, Shah SK, Rajput SL, et al. Incomplete tubular duplication of the esophagus lined by heterotopic gastric epithelium, presenting in adulthood. Endoscopy 2000;32:S35–S36.PubMed

Foley PT, Sithasanan N, McEwing R, et al. Enteric duplications presenting as antenatally detected abdominal cysts: is delayed resection appropriate? J Pediatr Surg 2003;38:1810–1813.CrossRefPubMed

Macpherson RI. Gastrointestinal tract duplications: clinical, pathologic, etiologic, and radiologic considerations. Radiographics 1993;13:1063–1080.PubMed

Kim YS, Park CK, Choi YW, et al. Esophageal tubular duplication complicated with intraluminal hematoma: a case report. J Korean Med Sci 2000;15:463–466.PubMed

Ventura R, Colleoni, Tomaz, Schettini. Surgical images: soft tissue tubular duplication of the esophagus. Can J Surg 2008;51:205–206.

Billmire DF, Allen JE. Duplication of the cervical esophagus in children. J Pediatr Surg 1995;30:1498–1499.CrossRefPubMed

10.

Mazziotti MV, Ternberg JL. Continuous communicating esophageal and gastric duplication. J Pediatr Surg 1997;32:775–778.CrossRefPubMed

11.

Dresler CM, Patterson GA, Taylor BR, et al. Complete foregut duplication. Ann Thorac Surg 1990;50:306–308.PubMedCrossRef

12.

Holcomb GW 3rd, Gheissari A, O'Neill JA Jr, et al. Surgical management of alimentary tract duplications. Ann Surg 1989;209:167–174.CrossRefPubMed

13.

Sharma KK, Ranka P, Meratiya S. Isolated cervical esophageal duplication: a rarity. J Pediatr Surg 2005;40:591–592.CrossRefPubMed

14.

Cioffi U, Bonavina L, De Simone M, et al. Presentation and surgical management of bronchogenic and esophageal duplication cysts in adults. Chest 1998;113:1492–1496.CrossRefPubMed

15.

Machado MA, Santos VR, Martino RB, et al. Laparoscopic resection of gastric duplication: successful treatment of a rare entity. Surg Laparosc Endosc Percutan Tech 2003;13:268–70.CrossRefPubMed

Title: Gastrointestinal Images: Complete Tubular Duplication of the Oesophagus in an Adult
Authors: Trystan M. Lewis
Emmanouil Zacharakis
Jonathan Hoare
Sanjay Purkayastha
George B. Hanna
Publication date: 01-08-2010
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 8/2010
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-010-1169-z

At a glance: The STEP trials

Springer Medicine

Gastrointestinal Images: Complete Tubular Duplication of the Oesophagus in an Adult

Abstract

Introduction

Case History

Discussion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Case History

Discussion

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