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The Annals of Thoracic Surgery, Vol 50, 309-311, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Acute symptoms due to a huge duplication cyst ruptured into the esophagus

K Nakahara, Y Fujii, S Miyoshi, A Yoneda, M Miyata and Y Kawashima
First Department of Surgery, Osaka University Medical School, Japan.

A 36-year-old housewife complained of a tight feeling in the pharynx with increasing dysphagia, dyspnea, and mild fever. Chest roentgenogram was interpreted as a cystic mass in the middle mediastinum. Computed tomography showed a cystic mass compressing the carina and the esophagus. Ten days after onset, symptoms were suddenly relieved followed by a tarry stool. The chest mass shadow decreased. Esophagofiberscopy showed two fistulas communicating with a cyst that had two chambers. Thoracotomy performed 40 days after onset showed a true duplication of the esophagus with rupture into the esophagus. This is a rare case in which it was possible to observe the sequence of events of a ruptured intramural duplication cyst by means of chest roentgenography, computed tomography, esophagofiberscopy, and cystogram.


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S.-i. Takeda, S. Miyoshi, M. Minami, M. Ohta, A. Masaoka, and H. Matsuda
Clinical Spectrum of Mediastinal Cysts
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[Abstract] [Full Text] [PDF]


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