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

Kazuya Nakahara, Yoshitaka Fujii, Shinichiro Miyoshi, Akihiro Yoneda, Masahiko Miyata, Yasunaru Kawashima

Research output: Contribution to journalArticlepeer-review

22 Citations (Scopus)


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 mast 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.

Original languageEnglish
Pages (from-to)309-311
Number of pages3
JournalThe Annals of Thoracic Surgery
Issue number2
Publication statusPublished - Aug 1990

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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