Abstract
Diaphragmatic hernia after esophagectomy and, particularly, eventual fecopneumothorax is a rare complication. Furthermore, a delayed manifestation 10 years after esophagectomy is an extremely rare situation. Herein, we report a surgical case of fecopneumothorax resulting from the perforation of intrathoracically herniated transverse colon 10 years after McKeown esophagectomy.