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Ann Thorac Surg 2002;74:1711-1712
© 2002 The Society of Thoracic Surgeons

Case report

A large mediastinal tumor with spontaneous regression 30 years after esophageal bypass surgery

Steffen Frese, MDa, Robert M. Stein, MDa, Jan-Rasmus Kuster, MDa, Ralph A. Schmid, MDa*

a Division of General Thoracic Surgery, University Hospital Berne, Berne, Switzerland

Accepted for publication July 11, 2002.

* Address reprint requests to Dr Schmid, Division of General Thoracic Surgery, University Hospital Berne, CH, 3010 Berne, Switzerland.
e-mail: ralph.schmid{at}insel.ch

We describe the case of an 80-year-old man admitted to the hospital for the first time with chest pain and progressive respiratory difficulty. Radiographic findings of the chest showed a large, cystic mediastinal mass from the jugulum to the diaphragm. The patient’s history revealed bypass operation for a benign esophageal stricture 30 years ago. During the hospital stay, clinical symptoms resolved within 48 hours without specific treatment. Seven days after admission a chest roentgenogram showed almost complete regression of the tumor, which was supposed to be a mucocele of the colon bypassing the esophagus.






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