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A symptomatic esophageal mucocele after esophageal bypass surgery

机译：食管搭桥手术后出现症状性食管粘膜膨出

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摘要

We encountered a case of esophageal mucocele with progressive respiratory symptoms which originated from an excluded thoracic esophagus that was closed at both the proximal and distal ends, and which occurred 24 years after esophageal bypass surgery for a spontaneous esophageal rupture. The patient was a 64-year-old male who was treated by a temporary external drainage for relief of his symptoms without subsequent complete resection of the mucocele via thoracotomy, because of the high surgical risks associated with such a procedure. Four-hundred and fifty milliliters of waste removed during the initial external drainage showed no signs of inflammation or malignancy, suggesting that the reason this excluded esophagus was a symptomatic mucocele was not the observed vigorous secretion, because of irritated esophageal mucosal cells or malignant cells, but instead was the result of gradual accumulation of secretions from the normal esophageal mucosa. This case suggests that an excluded esophagus without any inflammation or malignancy could form a large mucocele that can cause serious symptoms, for example respiratory difficulty, even after an extremely long interval. Although he has been both relapse-free and drainage-free for more than 5 years, further long-term follow-up in this case is mandatory.
机译：我们遇到了一例食管粘膜膨出症，该病例具有进行性呼吸道症状，该症状来自排除的胸腔食道，该食道在近端和远端均闭合，发生于食管旁路手术后自发食管破裂24年后。该患者是一名64岁的男性，由于该手术相关的手术风险较高，因此接受了临时的外部引流治疗以缓解症状，而无需随后通过开胸手术彻底切除粘膜囊肿。在最初的外部引流过程中清除的四百五十毫升废物没有显示出炎症或恶性肿瘤的迹象，这表明，由于食管粘膜细胞或恶性细胞被刺激，未发现食道有症状的粘膜鞘膜膨出不是观察到的剧烈分泌物，而是正常食管粘膜分泌物逐渐积累的结果。这种情况表明，排除的食道没有任何炎症或恶性肿瘤，即使经过很长的间隔，也可能形成大的黏膜突囊，引起严重的症状，例如呼吸困难。尽管他已无复发且无引流超过5年，但在这种情况下，必须进行进一步的长期随访。

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