PMC10050380_01
(A) Shows the radiological investigation of the child. Star indicates an irregular lumen shadow behind the lower esophageal segment on the lateral view of the upper gastrointestinal contrast study before the operation. (B) Shows the radiological investigation of the child. The star indicates an irregular lumen in the left posterior mediastinum of the contrast-enhanced computed tomography (CT) before the operation. (C) Shows the radiological investigation of the child. The star shows an irregular lumen shadow adjacent to the lower esophagus on coronal contrast-enhanced CT before the operation.
fped-11-1143741-g001.jpg
PMC10050380_01_fped-11-1143741-g001.jpg
F1
The lesion was 30.4 x 17.3 x 30.0 mm, and the cyst wall was further visualized using enhanced scanning. The esophagus moved anteriorly with pressure, blurring the boundary adjacent to the left inferior phrenic artery branch; the adjacent lung tissue was also changed under pressure (Figures 1B,C).
(A) Shows the gastroscopy of the child. There is an abnormal opening (gastric duplication opening) in the gastric fundus beside the cardia during pentagram gastroscopy. (B) Shows the gastroscopy of the child. Multiple open cysts are seen after the gastroscope is moved along the opening of the repeated malformation of the stomach.
fped-11-1143741-g002.jpg
PMC10050380_01_fped-11-1143741-g002.jpg
F2
Gastroscopy revealed an abnormal opening in the gastric fundus paracardia, as shown in Figure 2A. No ulcers or food residues were found in the area, as shown in Figure 2B.
(A) Shows the radiological investigation of the child during laparoscopy: the gastric fundus and its adjacent digestive tract surface are smooth and normal, and no prominent lesions are observed. (B) Shows the radiological investigation of the child during laparoscopic surgery. The red bright light (starred) indicates the positioning of the gastroscope, and the triangle is the position of the stomach. (C) Shows the radiological investigation of the child during laparoscopic surgery. The star is the lesion located in the smooth muscle layer of the digestive tract, and the triangle is the smooth muscle layer of the digestive tract outside the lesion.
fped-11-1143741-g003.jpg
PMC10050380_01_fped-11-1143741-g003.jpg
F3
It was found that the digestive tract surface of the gastric fundus and its vicinity were smooth and normal, and no prominent lesions were observed, as shown in Figure 3A. Intraoperative positioning was combined with gastroscopy, as shown in Figure 3B. It extended along the smooth muscle layer of the esophagus into the chest, as shown in Figures 3C, 4A,B.
(A) Shows the child during laparoscopic surgery. The star shows that there are multiple openings of interconnecting sacs in laparoscopic repetitive malformation. (B) Shows the child during laparoscopic surgery. The star shows gelatinous cystic fluid outflow in laparoscopic repetitive malformation. (C) Shows the pathological image of the child. The star shows the gastric mucosa indicated in the pathological section stained with hematoxylin and eosin stain (magnification x400).
fped-11-1143741-g004.jpg
PMC10050380_01_fped-11-1143741-g004.jpg
F4
It extended along the smooth muscle layer of the esophagus into the chest, as shown in Figures 3C, 4A,B. Most of the submitted pathological samples were lined with gastric mucosa, and a small part of the lining epithelium was shed, with slight hyperplasia of granulation and fibrous tissues (Figure 4C).
(A,B) Show the radiological investigation of the child: positive and lateral upper gastrointestinal radiographs reviewed 10 days after surgery, showing good recovery. (C) Shows the radiological investigation of the child: re-examination of the upper gastrointestinal tract contrast study 2 months after surgery, showing good recovery.
fped-11-1143741-g005.jpg
PMC10050380_01_fped-11-1143741-g005.jpg
F5
Upper gastrointestinal tract contrast study was reviewed 10 days after surgery (Figures 5A,B), and the abdominal color ultrasound demonstrated excellent recovery with no abnormalities. Upper gastrointestinal angiography was reviewed 2 months after surgery (Figure 5C), with good recovery observed.