A Case of Esophageal Duplication Cyst on the Left Side of the Diaphragm

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  • Nakamura Tsutomu
    Department of Surgery, Division of Gastroenterological Surgery, Yachiyo Medical Center, Tokyo Women's Medical University
  • Ota Masaho
    Department of Surgery, Division of Gastroenterological Surgery, Yachiyo Medical Center, Tokyo Women's Medical University
  • Onizawa Shunsuke
    Department of Surgery, Division of Gastroenterological Surgery, Yachiyo Medical Center, Tokyo Women's Medical University
  • Hamano Mie
    Department of Surgery, Division of Gastroenterological Surgery, Yachiyo Medical Center, Tokyo Women's Medical University
  • Ishita Takeshi
    Department of Surgery, Division of Gastroenterological Surgery, Yachiyo Medical Center, Tokyo Women's Medical University
  • Mouri Toshihiko
    Department of Surgery, Division of Gastroenterological Surgery, Yachiyo Medical Center, Tokyo Women's Medical University
  • Hirai Eiichi
    Department of Surgery, Division of Gastroenterological Surgery, Yachiyo Medical Center, Tokyo Women's Medical University
  • Katagiri Satoshi
    Department of Surgery, Division of Gastroenterological Surgery, Yachiyo Medical Center, Tokyo Women's Medical University
  • Araida Tatsuo
    Department of Surgery, Division of Gastroenterological Surgery, Yachiyo Medical Center, Tokyo Women's Medical University
  • Hiroshima Kenzo
    Department of Pathology, Yachiyo Medical Center, Tokyo Women's Medical University

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Other Title
  • 左横隔膜上に発生した食道囊腫の1例
  • 症例 左横隔膜上に発生した食道囊腫の1例
  • ショウレイ ヒダリ オウカクマク ジョウ ニ ハッセイ シタ ショクドウノウ シュ ノ 1レイ

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Abstract

<p>We reported an esophageal duplication cyst in a 43-year-old male detected by upper digestive tract examination in health screening. Endoscopy detected a submucosal translucent tumor in the left side of the lower esophagus. Endoscopic ultrasonography (EUS) and CT/MRI revealed fluid collection and a septal wall in the tumor. We diagnosed that the tumor was an esophageal duplication cyst. The patient underwent tumor resection through left thoracic-abdominal approach and gastric fundopexy for defect of the proper muscle in the lower esophagus. The tumor consisted of a cyst containing brownish serous fluid with a septal wall. Pathologic findings showed that the inner surface of the esophageal cyst was covered by single ciliated and embryonic squamous cell epithelium. Postoperative course was good without complication. Esophageal duplication cyst is a rare disease, but its presence can involve various problems in both diagnosis and treatment.</p>

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