A Malignant Complication of an Esophagus Duplication Tardily Diagnosed

Special Article – Surgery Case Reports

Austin J Surg. 2019; 6(2): 1160.

A Malignant Complication of an Esophagus Duplication Tardily Diagnosed

Louise L1,2, Damien B1,2,3*, Elodie G1,2, Michel R1,2, Sulpice L1,2 and Bernard M1,2

¹Department of Hepatobiliary and Digestive Surgery, Pontchaillou Hospital, France

²University of Rennes, France

³INRA, UR1341 ADNC, France

*Corresponding author: Bergeat Damien, Department of Hepatobiliary and Digestive Surgery, Pontchaillou Hospital, University Hospital Center, University of Rennes, France

Received: December 20, 2018; Accepted: January 08, 2019; Published: January 15, 2019


Duplications of the gastro intestinal tract are rare congenital malformations, with an incidence of 1 per 4,500 live births 1. They are cystic or tubular and can occur all along the digestive tract and can be isolated or multiple. They are typically located on the mesenteric side of the native bowel and share a common blood supply with it. Twenty percent of the digestive duplications are thoracic esophageal duplications.


Several theories exist to explain the embryologic development of those duplications, the omphalomesenteric remnant theory, the abortive twinning theory, the persistent embryologic diverticula theory, the split notochord theory, the aberrant luminal recanalization theory and the intrauterine vascular accidents theory [1,2].

Most of the time, patients are diagnosed during childhood (70- 90% before the age of two) [3]. During adulthood, complication is the most common situation to reveal this type of malformation.

Here, we report the rare case of a complete eso gastro duodenal duplication with a tumor evolution.

Case Presentation

A 25 years old female presented with epigastric pain relieved by vomiting, in a peripheral hospital. Her medical history was only marked by an appendectomy by laparotomy in the childhood.

After physical examination and classical laboratory tests, a CT scan was performed and visualized an intestinal malrotation with Ladd’s bands.

An exploratory laparoscopy was performed and confirmed the incompleted common mesentery. The section of the Ladd’s band was made. During the procedure, a gastro-duodenal duplication was revealed and a fibroscopy was performed during the operation to confirm this anomaly (Figure 1A). The procedure was stopped to explore the duplication. A CT-scan (Figure 1B) and an abdominal MRI completed the examination. A communication between the gastro duodenal duplication and the stomach and the duodenum was found. A resection of the gastric duplication was performed by laparotomy. Anatomopathological analysis showed fundic mucosal 29 cm length with duodenal metaplasia followed by duodenal mucosal 5,5 cm length. It showed no dysplasia or tumour site. No complications have occurred during the postoperative follow-up.

Citation: Louise L, Damien B, Elodie G, Michel R, Sulpice L and Bernard M. A Malignant Complication of an Esophagus Duplication Tardily Diagnosed. Austin J Surg. 2019; 6(2): 1160.