• Ann. Thorac. Surg. · Aug 1990

    Case Reports

    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.
    • Ann. Thorac. Surg. 1990 Aug 1;50(2):309-11.

    AbstractA 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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