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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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
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Abstract 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.
AbstractList 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.
Author Odell, David D., MD
Gangadharan, Sidhu P., MD
Collins, K.C., MD
Sheiman, Robert G., MD
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Cites_doi 10.1046/j.1442-2050.2002.00238.x
10.1002/bjs.1800710612
10.1016/S0096-5588(20)31107-7
10.1510/icvts.2008.179028
10.1016/S0003-4975(10)60609-1
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Keywords 8
Respiratory tract
Mucocele
Secondary
Expanding
Anesthesia
Circulatory system
Cardiology
Esophagus
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Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
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Mannell (10.1016/j.athoracsur.2011.12.079_bib2) 1984; 71
Deaton (10.1016/j.athoracsur.2011.12.079_bib3) 1952; 23
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Snippet Expanding mucocele is a known but rare complication of bypass and surgical exclusion of the thoracic esophagus. When functional esophageal mucosa secretes...
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SubjectTerms 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
Title Critically Compromised Airway Secondary to Expanding Esophageal Mucocele
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