case_images: PMC6636488_01
case_images: Patients' extremities.
case_images: CRIS2019-8983174.001.jpg
case_images: PMC6636488_01_CRIS2019-8983174.001.jpg
case_images: fig1
case_images: The physical exam is remarkable for polydactyly with syndactyly (Figure 1) and obesity.
case_images: A macroscopic preparation of the resected esophagus.
case_images: CRIS2019-8983174.002.jpg
case_images: PMC6636488_01_CRIS2019-8983174.002.jpg
case_images: fig2
case_images: On the posterior wall, along with the thoracic esophagus, a discrete seal near 6 cm in length was palpated (Figure 2).
case_images: Section of the macroscopic preparation with ulcerative changes.
case_images: CRIS2019-8983174.003.jpg
case_images: PMC6636488_01_CRIS2019-8983174.003.jpg
case_images: fig3
case_images: During the section of the macroscopic preparation, ulcerative changes with a length of about 6 cm were visualized (Figure 3), the same with definitive histological preparation showing a moderately differentiated adenocarcinoma.
case_images: Chest CT:a massive pleural effusion on the right side and a small one on the left.
case_images: CRIS2019-8983174.004.jpg
case_images: PMC6636488_01_CRIS2019-8983174.004.jpg
case_images: fig4
case_images: There were clinical, laboratory, chest X-ray, and CT data for spontaneous bilateral hemorrhagic pleural effusions; the bigger one was on the right side (Figure 4).
case_images: Ultrasound examination of the chest:a pleural effusion with a liquid and a solid (axillary and interlobar) component, evaluated as a hematoma, confirmed in the following surgical revision.
case_images: CRIS2019-8983174.005.jpg
case_images: PMC6636488_01_CRIS2019-8983174.005.jpg
case_images: fig5
case_images: Three days later because of chest X-ray and ultrasound data (Figure 5) for a coagulated right-sided hemothorax, a posterior-lateral right thoracotomy followed.
case_images: Chest X-ray after the decortication.
case_images: CRIS2019-8983174.006.jpg
case_images: PMC6636488_01_CRIS2019-8983174.006.jpg
case_images: fig6
case_images: The patient was discharged in a clinically stable general condition after a smooth postoperative period (Figure 6).