ABSTRACT

Esophageal duplications and bronchogenic cysts are part of

the spectrum of foregut malformations as both seem to have

their origin in the primitive foregut.1 Foregut duplication

cysts in children account for up to one-third of mediastinal

cysts and are one of the main differential diagnoses for

posterior mediastinal tumors. In the literature, approximately

21% of gastrointestinal duplications are reported to be of

esophageal origin.2,3

Esophageal duplication cysts are seen in close proximity to

the esophagus. There may be associated duplications else-

where in the gastrointestinal tract. Some of the esophageal

duplications can be thoraco-abdominal in nature.4,5 In

contrast, bronchogenic cysts are more frequent and are

closely associated with the tracheobronchial tree or within

the lung parenchyma. Unlike bronchogenic cysts esophageal

duplication cysts are commonly associated with vertebral

anomalies. In the presence of a vertebral anomaly, rarely an

intraspinal communication can be identified. This variant is

called a neuroenteric cyst.6