患者男,35岁。诉1年前曾因恶心,呕至口腔一用力也吐不掉的肿物,又自行咽回。以后胸骨后经常不适和异物感,但无吞咽困难。1月前又呕出带蒂肿物,以手还纳咽下。1987年11月入院。诱发呕吐时,见从口腔吐出一方形,表面光滑、红润、触之柔软的肿物,能伸至门齿外2cm(见封3图1)。稍行牵拉,病人即感左颈前外侧疼痛,还纳咽下顺利。食管钡餐见食管从颈段下部开始至食道中段有一圆柱状充盈缺损,局部增宽,大小约16cm×4cm,有钡剂分流和粘膜受压现象(见封3图2)。胃镜检查见食道腔内自咽部下方2cm处有蒂连接16cm× Male patient, 35 years old. He complained of a nausea, a vomit that he couldn’t vomit when he vomited to the mouth a year ago, and swallowed himself. After the sternum, there is often a sense of discomfort and foreign body, but no difficulty in swallowing. She vomited a pedunculated mass again before January and swallowed it with her hand. Admitted to hospital in November 1987. When vomiting was induced, see a square spit from the mouth with a smooth, ruddy, soft-touched mass that could reach 2 cm outside the incisors (see Figure 3). Slightly traction, the patient felt pain in the left and right cervical anterolateral, also satisfied smooth swallowing. The esophageal barium meal shows that the esophagus has a cylindrical filling defect from the lower part of the neck to the middle of the esophagus. It is locally widened and has a size of about 16 cm x 4 cm. There are barium shunts and mucosal pressure (see Figure 3). Gastroscopy shows a pedunculated junction 16 cm x 2 cm below the pharynx in the esophageal cavity.