Duplications of the alimentary tract can occur from mouth to anus, and ofte
n are undetected until they present with complications. We report duplicati
on of the cervical oesophagus presenting as dyspnoea and strider in a two y
ear old. In retrospect, this had been detected on ultrasound antenatally, b
ut no specific diagnosis had been made. We review the present literature to
raise awareness of duplication as one cause of cysts identified antenatall
y in this region.