A large mediastinal tumor with spontaneous regression 30 years after esophageal bypass surgery.
We describe the case of an 80-year-old man admitted to the hospital for the first time with chest pain and progressive respiratory difficulty. Radiographic findings of the chest showed a large, cystic mediastinal mass from the jugulum to the diaphragm. The patient's history revealed bypass operation for a benign esophageal stricture 30 years ago. During the hospital stay, clinical symptoms resolved within 48 hours without specific treatment. Seven days after admission a chest roentgenogram showed almost complete regression of the tumor, which was supposed to be a mucocele of the colon bypassing the esophagus.
Frese
Steffen
S
Division of General Thoracic Surgery, University Hospital Berne, Switzerland.
Stein
Robert M
RM
Kuster
Jan-Rasmus
JR
Schmid
Ralph A
RA
D000368:Aged; D000369:Aged, 80 and over; D003106:Colon / Q000637:transplantation*; D003937:Diagnosis, Differential; D004940:Esophageal Stenosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging*; D008479:Mediastinal Neoplasms / Q000000981:diagnostic imaging*; D009078:Mucocele / Q000000981:diagnostic imaging*; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D012075:Remission, Spontaneous; D014057:Tomography, X-Ray Computed