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Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Clinical History:
The patient was a 3 year old male with a minor pectus excavatum. A
mediastinal mass was incidentally noted on a chest film.
Clinical Physical Exam:
Minor pectus excavatum
Clinical Labs:
Non-contributory
Clinical Differential Diagnosis:
Pectus excavatum.
Imaging Findings:
Chest film showed a middle mediastinal mass. The mass indented the
esophagus on an esophagram (not provided). Chest CT exam showed the
mass to lie behind the right bronchi and next to the esophagus.
Imaging Differential Diagnosis:
Esophageal duplication cyst, bronchogenic cyst
Operative Findings:
The patient was taken to the operating room and the mass was removed
surgically.
Pathological Findings:
Pathological examination of the surgical specimen revealed the mass
to be lined by esophageal mucosa. An esophageal duplication cyst was
diagnosed.
Final Diagnosis:
Esophageal Duplication
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
Similar Cases:
Case 51
References:
None
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