Surgical images: soft tissue: Tubular duplication of the esophagus

A 6-year-old boy presented to the emergency department with an impacted foreign body in the esophagus. His medical history was marked by a mild dysphagia for solid food, present since the age of 2 years. His physical examination was unremarkable.

An upper endoscopy was performed. After a coin in the esophagus was removed, an esophageal stenosis and an orifice in the esophageal wall were noticed (Fig. 1). Biopsy of the double lumen showed chronic esophagitis. A barium esophagram (Fig. 2) was also carried out and contributed to a diagnosis of tubular duplication of the esophagus.

Esophageal duplication is a rare congenital anomaly with an estimated incidence of 1 in 8200, …