Diagnosis of foregut duplication cysts by endoscopic ultrasonography

Background & Aims: Foregut duplication cysts are rare congenital anomalies of enteric origin found most commonly in children and rarely in adults. They are usually found in adults on routine radiological studies and represent a challenging diagnostic problem. Conventional imaging tests do not lead to a conclusive diagnosis. With endoscopic ultrasonography, it is possible to distinguish between cystic and solid masses and to accurately establish the location of the cyst in relation to the gastrointestinal wall and to the mediastinum. Methods: Seven patients who had endoscopic ultrasonography performed because differentiation between a cystic or solid mass lesion in the chest or abdomen could not be made with conventional radiological methods are described. Results: In all patients, a definite diagnosis was established by endoscopic ultrasonography. The diagnosis was confirmed in 2 patients after surgical excision. Conclusions: Surgery can be avoided in patients with asymptomatic enteric duplication cysts diagnosed by endoscopic ultrasonography.