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Interact CardioVasc Thorac Surg 2008;7:742-744. doi:10.1510/icvts.2008.179028
© 2008 European Association of Cardio-Thoracic Surgery

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Case report - Esophagus

Symptomatic mucocele after esophageal exclusion

Rui Haddad*, Rodrigo Teixeira Lima, Carlos Henrique Boasquevisque and Giovanni Antonio Marsico

Thoracic Surgery Division, Department of Surgery, Faculty of Medicine and Thoracic Diseases Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil

*Corresponding author. Rua Barão de Lucena 48, Sala 03 22260-020, Botafogo, Rio de Janeiro, RJ, Brazil. Tel./fax: +55-21-33221545.

E-mail address: haddad{at}ufrj.br, rhaddad{at}globo.com (R. Haddad).

Surgical exclusion of the thoracic esophagus can result in the accumulation of secretions and dilatation of the esophageal remnant, a clinical picture known as esophageal mucocele. Although it is usually asymptomatic, if it increases in size it can produce a variety of compressive symptoms such as coughing, chest pain and respiratory distress. We present two cases of symptomatic mucocele after esophageal exclusion treated successfully with surgical resection. We believe that surgical resection should be considered for symptomatic patients, and that esophageal bypass surgery should be used with caution and indicated mostly in patients with a limited life span or with contraindications for esophagectomy.

Key Words: Esophageal mucocele; Complication esophageal bypass; Mediastinum; Cyst







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