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Ann Thorac Surg 2007;84:651-652
© 2007 The Society of Thoracic Surgeons

Case Reports

Fecopneumothorax: A Rare Complication of Esophagectomy

Haridimos Markogiannakis, MD*, Dimitrios Theodorou, MD, PhD, Dimitrios Tzertzemelis, MD, Dimitrios Dardamanis, MD, Konstantinos G. Toutouzas, MD, PhD, Panagiotis Misthos, MD, PhD, Stilianos Katsaragakis, MD, PhD

First Department of Propaedeutic Surgery, Hippokrateion Hospital, Athens Medical School, University of Athens, Athens, Greece

Accepted for publication March 6, 2007.

* Address correspondence to Dr Markogiannakis, Aristeidou 239 St, Athens, Kallithea, 17673, Greece (Email: markogiannakis{at}easy.com).

Intrathoracic colon herniation after esophagectomy is rare. Furthermore, fecopneumothorax is an extremely infrequent clinical entity. We believe this is the first report in the literature of a patient with fecopneumothorax due to diverticular perforation of intrathoracically herniated transverse colon 2 months after transthoracic esophagectomy and cervical esophagogastric anastomosis. The relative literature addressing cause, clinical presentation, diagnosis, management, and prevention of this life-threatening complication of esophagectomy is reviewed.






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Copyright © 2007 by The Society of Thoracic Surgeons.