Synchronous foregut and midgut duplications in an infant: diagnostic challenges and surgical management
Medical Review (Med. pregled), 2025, 61(6), 54-57.
N. Tolekova1, Ts. Georgiev1, К. Pamukova1, N. Atanasova1, E. Rangelov1, E. Kostova2, G. Garvanska2, Ts. Garev3, B. Mladenov4, P. Hristova4, Hr. Shivachev1
1 Pediatric Surgery Department, UMHATEM “N. I. Pirogov” – Sofia
2 Diagnostic Radiology Department, UMHATEM “N. I. Pirogov“ – Sofia
3 Pathology Department, UMHATEM “N. I. Pirogov” – Sofia
4 Department of Pediatric Intensive Care, UMHATEM “N. I. Pirogov” – Sofia
Abstract. Gastrointestinal duplications are rare congenital anomalies that can occur throughout the alimentary tract. They may be cystic or tubular in form and can present anywhere from the foregut to the hindgut. Bronchogenic cysts, arising from the embryonic foregut, may coexist with intestinal duplications, though such associations are exceedingly rare. The case report describes an associated tubular midgut with cystic thoracic foregut duplication in an infant with a review of literature of multiple gastrointestinal duplications regarding the rarity of the malformation. This case highlights the importance of a thorough radiologic evaluation for congenital cystic anomalies and demonstrates the surgical complexity of managing multiple duplications. Individualized operative strategies are essential, based on lesion type, location, and vascular anatomy.
Key words: bronchogenic cyst, imaging modalities, operative treatment, tubular intestinal duplication
Address for correspondence: Nadejda Tolekova, MD, e-mail: nadejda.tolekova@gmail.com