CTICasesEsophageal Duplication Cyst
Imaging findings
Chest CT in a patient presenting with severe chest pain shows a large, hemorrhagic mass dissecting within the submucosal layer of the esophagus. A prior CT had demonstrated a small, benign-appearing fluid-filled esophageal duplication cyst in the same location, which subsequently hemorrhaged, leading to extensive submucosal hematoma.
Key takeaways
Esophageal duplication cysts are rare congenital foregut anomalies that are typically benign and asymptomatic. However, they can occasionally become complicated by hemorrhage or infection. Bleeding within the cyst can lead to rupture and dissecting hematoma along the submucosal plane of the esophagus, presenting with acute chest pain and mimicking aortic dissection.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Aortic Intramural HematomaVascular
- Mycotic Aortic AneurysmInfection
- Meandering Pulmonary VeinCongenital
- Esophageal Submucosal HematomaVascular
- BroncholithiasisInflammatory
- Granulomatous VenulitisAutoimmune
- Plastic BronchitisOther
- Iatrogenic Diaphragmatic HerniaIatrogenic
See all cases from November 10, 2017 →