Congenital heterotopic gastrointestinal duplication cyst of the face: a rare case report

• DOI: 10.15406/mojs.2023.11.00230
• Publication Date: 2024-02-13T05:15:31Z
• Authors: Néstor A Heredia M; Laura Angélica Ra...; Magali Gutierrez; Ligia Pérez

Gastrointestinal duplication (GDC) cysts have various synonyms; choristoma, enterocystoma, and cyst. They are infrequent congenital benign lesions diagnosed mainly in children the first decade of life, comprising approximately less than 5% pediatric population with a predilection for male sex. It is exceedingly rare oral cavity but it possible, particularly on tongue, floor mouth, pharynx. From 1895 until 1994, 30 cases this lesion were reported. Nowadays, none authors reported GDC facial region. We report an exceptional case heterotopic gastrointestinal (HGDC) region 13 -years -old teenager who was referred to our medical department evaluation painless progressive asymmetry. In instance, ultrasound soft tissue made 6.5 MHz convex transducer, reporting big anechoic image regular borders 60 x 26 56 mm diameter 46cc approximate volume. Following this, non-contrast magnetic resonance executed open Philips PanoramaⓇ machine performed at 3T, hyperintense T2-weighted (repetition time msec/echo msec: 5,500/112) sagittal sequence FLAIR-weighted (5,714/80) axial sequence; isointense T1-weighted (24/80) coronal 54 51 compatible space occupant interior walls. A complete tumor resection achieved under balanced general anesthesia, specimen sent histological examination. Microscopic examination showed cystic lined mostly by mucous secretory epithelium other areas stratified squamous epithelium. The wall composed fibrous connective contains abundant gastric cells. Its deepest portion exhibits smooth muscle layer. summary, HGDC unusual head neck lesion, should be considered differential diagnosis neonates children. tract duplications may suggested imaging studies; however, correct defined histopathologic analysis. Due risk destruction potential malignant transformation, treated surgically excision.