Article Text

Difficulty in swallowing
  1. H-H Liang1,
  2. W Wang1,
  3. C Tiong2,
  4. C-C Chang2,
  5. M-T Huang1,
  6. J-S Chu3,
  7. C-H Wu1,
  8. P-L Wei1
  1. 1
    Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan
  2. 2
    Division of Gastroenterology, Department of Internal Medicine, Taipei, Taiwan
  3. 3
    Department of Pathology, Taipei Medical University Hospital, Taipei, Taiwan
  1. Correspondence to Dr P-L Wei, Department of Surgery, Taipei Medical University Hospital, 252 Wu Hsing Street, Taipei, Taiwan 110; b8501133{at}

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Clinical presentation

A 34-year-old man underwent gastroscopy to evaluate episodes of difficulty in swallowing. Gastroscopy revealed suspected extraluminal compression in the oesophageal–cardiac junction (fig 1). History of epigastric fullness was also noted. Abdominal ultrasonography revealed a cystic lesion between the left lobe of the liver and the oesophagus. Abdominal CT showed a 3 cm thoracoabdominal cystic mass that appeared to be contiguous with the diaphragmatic crura (fig 2). Laparoscopic exploration and resection of the cystic lesion were performed (fig 3). Removal …

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