Esophageal Cysts Clinical Presentation

Updated: Jan 29, 2020
  • Author: Dale K Mueller, MD; Chief Editor: Jeffrey C Milliken, MD  more...
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Presentation

History and Physical Examination

Most esophageal cysts are diagnosed during childhood. [3]  Many children with these cysts are asymptomatic.

Most adults (67%) with esophageal cysts are symptomatic. Chest pain (tightness or fullness) is the most common presentation. [2]  Dysphagia may also occur. [2, 5]  Hematemesis can occur if gastric epithelium is present in the cyst.

Most esophageal cysts develop in the right posteroinferior mediastinum.

Malignant degeneration can occur, albeit rarely. [6]