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Airway obstruction caused by loculated mediastinal effusion after ivor lewis operation.
[esophageal carcinoma]
Airway
obstruction
after
esophageal
surgery
is
quite
rare
,
and
few
such
cases
have
been
reported
.
A
57
-
year
-old
woman
who
underwent
the
Ivor
Lewis
procedure
for
esophageal
carcinoma
complained
of
a
sudden
onset
of
severe
dyspnea
on
postoperative
day
3
.
Chest
computed
tomography
scan
revealed
that
the
collection
of
a
large
volume
of
mediastinal
fluid
caused
marked
luminal
compression
on
the
trachea
and
the
gastric
conduit
.
Explorative
thoracotomy
revealed
a
clear
serous
fluid
in
the
space
between
the
trachea
and
the
gastric
conduit
,
and
all
respiratory
symptoms
were
relieved
after
the
fluid
was
drained
.
The
possibility
of
tracheal
compression
by
loculated
effusion
,
such
as
chyloma
,
should
be
considered
in
a
patient
who
complains
of
respiratory
deterioration
after
esophageal
surgery
.
Diseases
Validation
Diseases presenting
"respiratory symptoms"
symptom
allergic bronchopulmonary aspergillosis
esophageal carcinoma
legionellosis
lymphangioleiomyomatosis
scrub typhus
typhoid
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