title: An unusual cause of stridor in an adult: mediastinal foregut duplication cyst.
abstract: We present a case of unusual presentation of stridor in an adult man who was identified to have a sudden expansion of a foregut duplication cyst in the mediastinum. This resulted in superior vena caval obstruction and subsequent airway compromise. Following resuscitation, the cyst was surgically removed via a thoracotomy which confirmed the diagnosis and provided definitive management. Foregut duplication cysts are an unusual cause of stridor in adults, with only five cases ever documented worldwide in the literature, presenting in such a manner. This case is a reminder of the importance of thorough clinical examination, the benefits of radiology as an indispensible adjunct and essential role of the multidisciplinary team.
authors: Department of ENT, Leicester Royal Infirmary, Leicester, UK.
authors: Nicola Rachel
authors: NR
authors: Wooles
authors: Birmingham Childrens Hospital, Birmingham, UK.
authors: Emma
authors: E
authors: Hoskison
authors: Department of ENT, Leicester Royal Infirmary, Leicester, UK.
authors: Marianne
authors: M
authors: Elloy
mesh_terms: D006801:Humans; D008297:Male; D008476:Mediastinal Cyst / Q000150:complications* / Q000151:congenital / Q000601:surgery; D008875:Middle Aged; D012120:Respiration Disorders / Q000209:etiology; D012135:Respiratory Sounds / Q000209:etiology*; D014057:Tomography, X-Ray Computed
references: J Laparoendosc Adv Surg Tech A. 2006 Oct;16(5):526-9
references: 17004883
references: Br J Radiol. 2005 Aug;78(932):714-20
references: 16046423
references: AANA J. 2005 Feb;73(1):55-61
references: 15727285
references: Radiographics. 1986 Mar;6(2):189-201
references: 3317541
references: Chest. 1998 Jun;113(6):1492-6
references: 9631783