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Eur J Cardiothorac Surg 2005;27:706
© 2005 Elsevier Science NL

Images in cardio-thoracic surgery

Tracheal compression by esophageal mucocele after surgical exclusion of the esophagus

Seock Yeol Lee*

Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Chunan Hospital, 23 Bongmyung-dong, Chunan-city, Chungcheongnam-do, South Korea

Received 4 November 2004; received in revised form 16 December 2004; accepted 20 December 2004.

* Tel.: +82 41 570 2193; fax: +82 41 575 9674. (E-mail: csdoctor{at}korea.com).

Key Words: Esophagus • Mucocele • Boerhaave syndrome

A 43-year-old male was admitted to our hospital complaining of wheezing sound at respiration. He had received esophageal exclusion by left open thoracotomy, feeding gastrostomy and delayed cervical esophagogastrostomy due to spontaneous rupture 1 year ago. Chest X-ray and CT revealed esophageal mucocele (Fig. 1). The mucocele along with the rest of the intrathoracic esophagus was resected via a right thoracotomy.



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  		Fig. 1. Chest PA showing mediastinal mass and chest CT showing retrosternal stomach (white arrow) and large esophageal mucocele compress trachea (black arrow).

 





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