Acute symptoms due to a huge duplication cyst ruptured into the esophagus.
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.
Nakahara
K
K
First Department of Surgery, Osaka University Medical School, Japan.
Fujii
Y
Y
Miyoshi
S
S
Yoneda
A
A
Miyata
M
M
Kawashima
Y
Y
D000328:Adult; D003680:Deglutition Disorders / Q000209:etiology*; D004417:Dyspnea / Q000209:etiology*; D004934:Esophageal Cyst / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D011859:Radiography; D012422:Rupture, Spontaneous