Congenital esophageal stenosis due to tracheobronchial remnants: report of 2 cases and literature review

Congenital esophageal stenosis due to tracheobronchial remnants is a rare malformation whose diagnosis may be difficult. It is characterised by the abnormal presence of congenital tissue of tracheal origin in the esophageal wall, which is responsible for the narrowing of the esophagus. We report 2 c...

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Bibliographic Details
Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2006-07, Vol.13 (7), p.1043-1046
Main Authors: Ouanes, I, Mekki, M, Jouini, R, Belghith, M, Sahnoun, L, Zakhama, A, Maazoun, K, Golli, M, Krichène, I, Nouri, A
Format: Article
Language:fre
Subjects:
Bronchi
Choristoma - complications
Esophageal Stenosis - congenital
Esophageal Stenosis - etiology
Female
Humans
Infant
Trachea
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Summary:Congenital esophageal stenosis due to tracheobronchial remnants is a rare malformation whose diagnosis may be difficult. It is characterised by the abnormal presence of congenital tissue of tracheal origin in the esophageal wall, which is responsible for the narrowing of the esophagus. We report 2 cases whose treatment was surgical after failure of esophageal dilations. The presence of tracheal-bronchial tissue was confirmed by histological examination of the operative piece. Outcome was favourable and the final result was excellent. Recently, endoscopic ultrasonography has been proved useful in the diagnosis of congenital esophageal stenosis due to tracheobronchial remnants by showing the presence of cartilage, which explains the failure of dilation. The high rate of perforation in these cases is due to brutal fragmentation of the cartilaginous rings. Surgical resection of esophageal stenosis with the tracheobronchial tissue appears the only treatment susceptible to completely suppress the stenosis and its consequences.
ISSN:0929-693X
1769-664X
DOI:10.1016/j.arcped.2006.03.144