case_images: PMC11787946_01
case_images: Axial (A), coronary (B), and sagittal (C) CT views of the thoracic esophagus (the arrows show the dilated and tortuous esophagus). CT: computed tomography
case_images: cureus-0017-00000076833-i01.jpg
case_images: PMC11787946_01_cureus-0017-00000076833-i01.jpg
case_images: FIG1
case_images: An intrathoracic esophagus was presented with a dilated lumen in the axial plane, filled with food debris and oral contrast material (Figure 1).
case_images: Intraoperative view. Dissection and mobilization of the (A,B) thoracic esophagus and (C) neck esophagus
case_images: cureus-0017-00000076833-i02.jpg
case_images: PMC11787946_01_cureus-0017-00000076833-i02.jpg
case_images: FIG2
case_images: A highly dilated, tortuous, and thick-walled thoracic megaesophagus with multiple vessels located subadventitially and severe periesophageal adhesions were found (Figure 2). The cervical esophagus was dissected, and a subtotal resection was completed approximately 2 cm below the hypopharynx (Figure 2).
case_images: (A,B) A skeletonized esophagus and a stomach. (C) A neoesophagus created by the greater curvature
case_images: cureus-0017-00000076833-i03.jpg
case_images: PMC11787946_01_cureus-0017-00000076833-i03.jpg
case_images: FIG3
case_images: A gastric tube was created (Figure 3), and the duodenum was mobilized by the Kocher maneuver.
case_images: Macroscopic view of the resected specimen. (A) Resected esophagus, upper part of the stomach, and gallbladder. (B) Dissected view of the esophagus, stomach, and gallbladder
case_images: cureus-0017-00000076833-i04.jpg
case_images: PMC11787946_01_cureus-0017-00000076833-i04.jpg
case_images: FIG4
case_images: The macroscopic specimens, including the resected esophagus, a portion of the lesser curvature of the stomach, and the gallbladder, are shown in Figure 4.