NUMERO: #20250429

Título: LATE-ONSET SYMPTOMS OF A RARE CONGENITAL ANOMALY IN ADULTHOOD - A CASE REPORT

Nome do Apresentador: Leticia Beatriz da Cruz SANTOS

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Estomatologia

Resumo: Esophageal duplication cysts (EDCs) are rare congenital anomalies, particularly uncommon in adults, and often present a diagnostic challenge due to their nonspecific clinical manifestations. We present the case of a 29-year-old woman with a six-month history of an asymptomatic submental swelling, without dysphagia, dysphonia, fever, or signs of infection. Examination revealed a firm, mobile, non-tender mass. Fine-needle aspiration extracted 60 mL of cystic fluid. Computed tomography revealed a well-circumscribed cystic lesion with a thick capsule and central hyperdensity, initially measuring 6.62 × 5.91 cm, which decreased following drainage. Surgical excision was performed via a submental approach. Histopathological analysis revealed a cyst lined by pseudostratified columnar epithelium with goblet cells transitioning to stratified epithelium, supported by smooth muscle and neurovascular bundles-findings consistent with an esophageal duplication cyst.The postoperative course was uneventful, and the patient remains asymptomatic.This case highlights the diagnostic complexity of EDCs and the role of histopathology.

Autor 1:  Leticia Beatriz da Cruz SANTOS

E-mail 1:  [email protected]

Autor 2:   Eliandro de Souza Freitas

E-mail 2:  [email protected]

Autor 3 :  Tharcisio Veríssimo Dantas Nóbrega

E-mail 3:  [email protected]

Autor 4:  André Luís Costa Santos de Jesus

E-mail 4:  [email protected]

Autor 5:  Tiago Novaes Pinheiro

E-mail 5:  [email protected]

Autor 6:  Patrick Vilela Paquer

E-mail 6:  [email protected]