J Gastroenterol Hepatol Endosc | Volume 3, Issue 3 | Case Report | Open Access

Esophageal Tubular Duplication in an Adult Patient. A Case Report and Review of the Literature

Federico Mendoza-Sánchez^1*, Carlos Rentería-Loza², Diego Federico Mendoza-Medina³, Ramón Peregrina Álvarez-Tostado⁴, Aldo J. Montano-Loza⁵, Clotilde Fuentes-Orozco⁶, Jacob Esaú Pérez-Landeros⁶ and Elba Stephanie Gutiérrez-Navarro⁶

¹Department of General Surgery, Medical Center Puerta de Hierro, Mexico
²Department of Gastroenterology, Medical Center Puerta de Hierro, Mexico
³Transplant Coordination, Specialties Hospital of the Western Medical Center, Medical Unit of High Specialty, Mexican Institute of Social Security, Mexico
⁴Department of Radiology, Medical Center Puerta de Hierro, Mexico
⁵Division of Gastroenterology, Alberta University, Canada
⁶Specialties Hospital of the Western Medical Center, Medical Unit of High Specialty, Mexican Institute of Social Security, Mexico

^*Correspondance to: Federico Mendoza-Sánchez 

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Abstract

Introduction: Duplications of the alimentary tract are infrequent congenital malformations that might occur at any level from the mouth to the anus. The esophagus is the second most common site of the alimentary tract duplications. Based on autopsy reports, it is estimated that gastrointestinal tract duplication affects 1 in every 4,500 to 8,200 individuals. These malformations are predominantly diagnosed during childhood. Pathologically, two types have been recognized, cystic and tubular. Most duplications are cystic, and tubular type is extremely rare. Herein, we present the case of an adult patient with tubular esophageal duplication.
Case Report: A 28 year-old male patient was evaluated for chronic epigastric pain and pirosis. During an upper endoscopy we observed a tubular esophageal duplication with endoscopic findings suggestive of Barrett’s esophagus in both segments. This finding was corroborated with CT of the chest. The patient was started on proton-pump inhibitor treatment and surgical resection was recommended.
Conclusion: Tubular esophageal duplication is extremely rare; and patients might have late clinical presentation.

Citation:

Mendoza-Sánchez F, Rentería-Loza C, Mendoza-Medina DF, Álvarez-Tostado RP, Montano-Loza AJ, FuentesOrozco C, et al. Esophageal Tubular Duplication in an Adult Patient. A Case Report and Review of the Literature. J Gastroenterol Hepatol Endosc. 2018;3(3):1045.