{"id":7425,"date":"2020-03-06T12:45:30","date_gmt":"2020-03-06T11:45:30","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/bildergalerie\/esophageal-duplication-cysts-edcs\/"},"modified":"2020-03-06T12:46:52","modified_gmt":"2020-03-06T11:46:52","slug":"esophageal-duplication-cysts-edcs","status":"publish","type":"bildergalerie","link":"https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/esophageal-duplication-cysts-edcs\/","title":{"rendered":"Esophageal duplication cysts (EDCs)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Esophageal duplication cysts (EDCs) are rare, congenital anomalies with\nprevalence of about 0.0122%. EGD are located\nmost commonly in the lower one third of the esophagus. As mainly asymptomatic lesions, they are\nusually an incidental finding in routine endoscopy. Based on their morphologic\nendoscopic features they can be classified as submucosal lesions. Duplication\ncysts can be visualized with many imaging modalities, from more basic such as a\nchest x-ray, to more advanced, e.g. mediastinal magnetic resonance imaging.\nHowever, the only examination which can differentiate duplication cysts with\nother submucosal pathologies is an endoscopic ultrasound with duplex Doppler\nimaging. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Here we present a case of a patient qualified for endosonographic evaluation\nof unspecific esophageal submucosal lesion (SEL). The lesion was detected\nduring routine upper GI endoscopy performed before planned cholecystectomy. The\npatient was without symptoms. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">EUS imaging showed hypoechogenic, anechoic cystic lesion with regular wall, with no blood flow in duplex Doppler examination. With such a typical image a biopsy was not required to confirm the diagnosis of single esophageal duplication cyst.<\/p>\n\n\n\n<figure class=\"wp-block-gallery columns-2 is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\"><ul class=\"blocks-gallery-grid\"><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"309\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/Esophageal-duplication-cysts-EDCs-1.jpg\" alt=\"\" data-id=\"7396\" data-link=\"https:\/\/www.endoscopy-campus.com\/?attachment_id=7396\" class=\"wp-image-7396\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"309\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/Esophageal-duplication-cysts-EDCs-2.jpg\" alt=\"\" data-id=\"7398\" data-link=\"https:\/\/www.endoscopy-campus.com\/?attachment_id=7398\" class=\"wp-image-7398\"\/><\/figure><\/li><\/ul><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Figure 1.<\/strong> Left- EDC in EUS. EUS imaging showed hypoechogenic, anechoic cystic lesion with regular wall, with no blood flow in duplex Doppler examination. Right- Endoscopy od upper GIT. Submucosal lesions covered by normal mucosa, without typical symptoms for gastric varices. There is no possibility to differentiate SEL. <\/p>\n\n\n\n<figure class=\"wp-block-gallery columns-2 is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\"><ul class=\"blocks-gallery-grid\"><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"309\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/Esophageal-duplication-cysts-EDCs-3.jpg\" alt=\"\" data-id=\"7400\" data-link=\"https:\/\/www.endoscopy-campus.com\/?attachment_id=7400\" class=\"wp-image-7400\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"309\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/Esophageal-duplication-cysts-EDCs-4.jpg\" alt=\"\" data-id=\"7402\" data-link=\"https:\/\/www.endoscopy-campus.com\/?attachment_id=7402\" class=\"wp-image-7402\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"309\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/Esophageal-duplication-cysts-EDCs-5.jpg\" alt=\"\" data-id=\"7404\" data-link=\"https:\/\/www.endoscopy-campus.com\/?attachment_id=7404\" class=\"wp-image-7404\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"309\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/Esophageal-duplication-cysts-EDCs-6.jpg\" alt=\"\" data-id=\"7406\" data-link=\"https:\/\/www.endoscopy-campus.com\/?attachment_id=7406\" class=\"wp-image-7406\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"309\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/Esophageal-duplication-cysts-EDCs-7.jpg\" alt=\"\" data-id=\"7408\" data-link=\"https:\/\/www.endoscopy-campus.com\/?attachment_id=7408\" class=\"wp-image-7408\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"309\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/Esophageal-duplication-cysts-EDCs-8.jpg\" alt=\"\" data-id=\"7410\" data-link=\"https:\/\/www.endoscopy-campus.com\/?attachment_id=7410\" class=\"wp-image-7410\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"309\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/Esophageal-duplication-cysts-EDCs-9.jpg\" alt=\"\" data-id=\"7412\" data-link=\"https:\/\/www.endoscopy-campus.com\/?attachment_id=7412\" class=\"wp-image-7412\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"309\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/Esophageal-duplication-cysts-EDCs-010.jpg\" alt=\"\" data-id=\"7414\" data-link=\"https:\/\/www.endoscopy-campus.com\/?attachment_id=7414\" class=\"wp-image-7414\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"309\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/Esophageal-duplication-cysts-EDCs-011.jpg\" alt=\"\" data-id=\"7416\" data-link=\"https:\/\/www.endoscopy-campus.com\/?attachment_id=7416\" class=\"wp-image-7416\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"309\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/Esophageal-duplication-cysts-EDCs-012.jpg\" alt=\"\" data-id=\"7418\" data-link=\"https:\/\/www.endoscopy-campus.com\/?attachment_id=7418\" class=\"wp-image-7418\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"309\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/Esophageal-duplication-cysts-EDCs-013.jpg\" alt=\"\" data-id=\"7420\" data-link=\"https:\/\/www.endoscopy-campus.com\/?attachment_id=7420\" class=\"wp-image-7420\"\/><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"309\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/Esophageal-duplication-cysts-EDCs-014.jpg\" alt=\"\" data-id=\"7422\" data-link=\"https:\/\/www.endoscopy-campus.com\/?attachment_id=7422\" class=\"wp-image-7422\"\/><\/figure><\/li><\/ul><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Endoscopic view<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Submucosal\nlesions covered by normal mucosa, without typical symptoms for gastric varices.\n<\/li><li>EGD\ndoes not allow for differentiation of submucosal lesions and gastric varices.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Endoscopic ultrasound<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Periesophageal homogenous hypoechoic, anechoic\ncyst, with multi-layered wall, well-defined margins, can include fluid with <em>debris.<\/em><\/li><li>Doppler\ncolor evaluation- without blood flow.<\/li><li>Allows differentiate esophageal lesions from\nbronchogenic lesions. Typical for EDCs are: proximity to the esophagus, absence\nof cartilage, and the presence of a double muscle layer covering the cyst. <\/li><li>EUS is a useful tool for differentiating between\ncystic and solid esophageal lesions like esophageal leiomyoma. Moreover, use of\ncolor Doppler allows for differentiation between gastric varices and EDC<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Diagnosis, furtherer follow-up, treatment<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Biopsy\nis not required in patients with typical endosonographic view. Moreover, biopsy\nis related with a 14% risk of infection. The exceptions are lesions with an\nunusual appearance and oncological potential.<\/li><li>Follow-up\nis not necessary. Versleijen&nbsp;<em>et al.<\/em> presented\nfollow-up of EDC over 13 years without progression, complication and malignant\ntransformation. Malignancy is rare, but the\nexact rate is uncertain.<\/li><li>Surgical\ntreatment in the case of symptomatic illness or the presence of complications.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">References<\/h2>\n\n\n\n<ol class=\"wp-block-list\"><li> Liu R, Adler DG. Duplication cysts: Diagnosis, management, and the role of endoscopic ultrasound.&nbsp;<em>Endosc Ultrasound<\/em>. 2014;3(3):152\u2013160. <\/li><li> Timothy A.&nbsp;Plerhoples&nbsp;MD,&nbsp;Thomas M.&nbsp;Krummel&nbsp;MD, in&nbsp;Kendig &amp; Chernick&#8217;s Disorders of the Respiratory Tract in Children (Eighth Edition), 2012. <\/li><li> Versleijen MW, Drenth JP, Nagengast FM. A case of esophageal duplication cyst with a 13-year follow-up period.&nbsp;Endoscopy.&nbsp;2005;37:870\u20132. <\/li><li> Al-Riyami S, Al-Sawafi Y. True Intramural Esophageal Duplication Cyst.&nbsp;<em>Oman Med J<\/em>. 2015;30(6):469\u2013472.<\/li><\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">Authors:<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Koz\u0142owska-Petriczko K\n(1), Pawlak K (2), Wiechowska-Koz\u0142owska A (2)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">1.SPWSZ Arkonska\nHospital, Szczecin, Poland<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2. Hospital of the\nMinistry of Interior and Administration, Department of Internal Medicine, <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cardiology, Gastroenterology and Endocrinology, Szczecin, Poland <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Here we present a case of a patient qualified for endosonographic evaluation of unspecific esophageal submucosal lesion (SEL). The lesion was detected during routine upper GI endoscopy performed before planned cholecystectomy.<\/p>\n","protected":false},"featured_media":7395,"template":"","categories":[97,171],"tags":[1915,1917,972,1916,1918],"ec-magazin-ausgaben":[],"sponsoren-erwaehnung":[],"autor":[],"class_list":["post-7425","bildergalerie","type-bildergalerie","status-publish","has-post-thumbnail","hentry","category-literature","category-special-cases","tag-edcs","tag-edcs-en","tag-egd","tag-esophageal-duplication-cysts","tag-esophageal-duplication-cysts-en"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/bildergalerie\/7425","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/bildergalerie"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/bildergalerie"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media\/7395"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=7425"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=7425"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=7425"},{"taxonomy":"ec-magazin-ausgaben","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-magazin-ausgaben?post=7425"},{"taxonomy":"sponsoren-erwaehnung","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/sponsoren-erwaehnung?post=7425"},{"taxonomy":"autor","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/autor?post=7425"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}