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ตรวจร่างกาย T 37.1 oC BP 106/65 mmHg P 120/min RR 46/min not pale, no cyanosis HEENT : pharynx, tonsils not injected tonsils 3+ Heart : normal S1, S2, no murmur Lungs : biphasic stridor, rhonchi both lungs, suprasternal and intercostal retractions Extremities : no digital clubbing Abdomen : no hepatomegaly
TPRC TPRC
TPRC
TPRC
OPERATION - esophagoscopy before operation : intraluminal mass of esophagus, suspected esophageal cyst - right thoracotomy and esophageal cyst identified at upper esophagus, thoracic duct identified before beginning esophageal dissection and cyst removed from esophagus - repair esophagus PATHOLOGICAL REPORT - esophageal duplication cyst