Critically Compromised Airway Secondary to Expanding Esophageal Mucocele

Expanding mucocele is a known but rare complication of bypass and surgical exclusion of the thoracic esophagus. When functional esophageal mucosa secretes mucin into the blind esophageal loop, tissue expansion can cause mass effect on nearby structures. We report the case of a critically compromised...

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Bibliographic Details
Published inThe Annals of thoracic surgery Vol. 94; no. 2; pp. 635 - 636
Main Authors Collins, K.C., MD, Odell, David D., MD, Sheiman, Robert G., MD, Gangadharan, Sidhu P., MD
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.08.2012
Elsevier
Subjects
Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cardiology. Vascular system
Cardiothoracic Surgery
Critical Illness
Esophageal Diseases - complications
Humans
Male
Medical sciences
Mucocele - complications
Pneumology
Respiration Disorders - etiology
Respiratory Sounds
Surgery
8
Respiratory tract
Mucocele
Secondary
Expanding
Anesthesia
Circulatory system
Cardiology
Esophagus
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Summary:Expanding mucocele is a known but rare complication of bypass and surgical exclusion of the thoracic esophagus. When functional esophageal mucosa secretes mucin into the blind esophageal loop, tissue expansion can cause mass effect on nearby structures. We report the case of a critically compromised airway secondary to a dilated esophageal mucocele initially managed with right thoracotomy, partial esophagectomy and mucosectomy. This was complicated by mucocele recurrence, which was successfully managed with computed tomography–guided drainage and absolute alcohol ablation of residual mucosa.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2011.12.079