THORACOSCOPIC EXCISION OF SYMPTOMATIC ESOPHAGEAL DUPLICATION CYST IN ADULT POPULATION-EXPERIENCE FROM A TERTIARY CARE CENTER

Gastrointestinal duplications are rare congenital anomalies in children. The most common site being jejunum and ileum, followed by mediastinum, colon, stomach, duodenum and rectum. Esophageal duplication cysts accounts for twenty percent. Majority of them are detected in childhood and treated. A very small percentage can present in adult population posing diagnostic challenges due to the clinical presentations. Minimal access surgery has obviated the need for thoracotomy. Herein we share our experience of treating four symptomatic esophageal duplication cysts in adults, by minimally invasive approach.

Role of 99mTc sulphur colloid lymphoscintigraphy in a rare case of chylothorax and lymphocele formation post esophageal duplication cyst excision

We report a rare case of chylothorax with lymphocele formation post esophageal duplication cyst (EDC) excision in a 2 year old male child. Patient developed chylothorax after excision of EDC. Pleural fluid cytology showed increased triglycerides and cholesterol levels. Filtered Tc-99m Sulphur colloid lymphoscintigraphy showed abnormal radiotracer uptake in the lower thoracic region on right side corresponding to lymphocele on SPECT-CT images with possible site of leak medially. In addition, Tc-99m pertechnetate scan was done to rule out possibility of residual duplication cyst revealed no abnormality. Patient underwent open and en-masse ligation of the duct. Patient recovered completely post-surgery. This case highlights the importance of lymphoscintigraphy with SPECT-CT in the evaluation of patients with post-operative complications of chylothorax with detection of site of chyle leak.