History :
History 4 year old male
Recurrent vomiting – 3 months
Abdominal examination normal
Chest – B/L air entry equal, No added sounds
No other positive findings
X ray –chest – Normal,USG abd normal
UGI Scopy – Extrinsic compresssion
Barium swallow – Extrinsic mass
Barium swallow and UGI scopy :
Barium swallow and UGI scopy
CT Scan chest :
CT Scan chest
Surgery - Position :
Surgery - Position
Surgery - Trocars :
Surgery - Trocars Head end Leg end
Surgery – Thoracoscopic resection :
Surgery – Thoracoscopic resection
Specimen :
Specimen
Post op view :
Post op view
Post Op :
Post Op Recovered satisfactorily
No post op ventilation.
Started on Feeds Day 2nd pod.
ICD removed – day 3
Discharged on 4th POD.
Biopsy – Cyst wall consistent with Oesophageal duplication cyst with no ectopic gastric mucosa.
References :
References Esophageal and bronchogenic cysts and duplications may be safely excised by MAS in children, with excellent cosmetic and functional outcome.