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Case Reports
. 2015 Jan 28:2015:bcr2014208533.
doi: 10.1136/bcr-2014-208533.

An unusual cause of stridor in an adult: mediastinal foregut duplication cyst

Nicola Rachel Wooles  1 , Emma Hoskison  2 , Marianne Elloy  1
Affiliations
Case Reports

An unusual cause of stridor in an adult: mediastinal foregut duplication cyst

Nicola Rachel Wooles et al. BMJ Case Rep. .

Abstract

We present a case of unusual presentation of stridor in an adult man who was identified to have a sudden expansion of a foregut duplication cyst in the mediastinum. This resulted in superior vena caval obstruction and subsequent airway compromise. Following resuscitation, the cyst was surgically removed via a thoracotomy which confirmed the diagnosis and provided definitive management. Foregut duplication cysts are an unusual cause of stridor in adults, with only five cases ever documented worldwide in the literature, presenting in such a manner. This case is a reminder of the importance of thorough clinical examination, the benefits of radiology as an indispensible adjunct and essential role of the multidisciplinary team.

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Figures

Figure 1
Figure 1
Transverse CT of the superior mediastinum: a large mass containing two visible cysts, compressing and distorting the path of the trachea.
Figure 2
Figure 2
Coronal CT of the thorax and abdomen: the large mass intimately related to the oesophagus, trachea and carina.
Figure 3
Figure 3
Sagittal CT of the thorax and abdomen: the mass's position in the retropharyngeal space continuous with the superior mediastinum.
Figure 4
Figure 4
Coronal CT of the neck: the mass in the retropharyngeal space continuing into the superior mediastinum, and subsequent tissue oedema of the neck.
See this image and copyright information in PMC

References

    1. Gopp A. Anesthetic management of a patient with a mediastinal foregut duplication cyst: a case report. AANA J 2005;73:55. - PubMed
    1. Cioff U, Bonavina L, De Simone M et al. . Presentation and surgical management of bronchogenic and esophageal duplication cysts in adults. Chest 1998;113:1492–6. 10.1378/chest.113.6.1492 - DOI - PubMed
    1. Fitch S, Tonkin I, Tonkin A. Imaging of foregut duplication cysts. Radiographics 1986;6:189–201. 10.1148/radiographics.6.2.3317541 - DOI - PubMed
    1. Kumar R, Tripathi M, Chandrashekar N et al. . Diagnosis of ectopic gastric mucosa using 99Tcm-pertechnetate: spectrum of scintigraphic findings. Br J Radiol 2005;78:714–20. 10.1259/bjr/16678420 - DOI - PubMed
    1. Hirose S, Clifton M, Bratton B et al. . Thoracoscopic resection of foregut duplication cysts. J Laparoendosc Adv Surg Tech A 2006;16:526–9. 10.1089/lap.2006.16.526 - DOI - PubMed

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