Abstract
A 67-year-old man reporting cough and dyspnea and admitted for left tension pneumothorax found in chest radiography. He had undergone esophagogastrectomy for esophageal carcinoma. Abdominal radiography showed severe pneumoperitoneum. He had no apparent abdominal pain. A thoracic catheter was inserted into the left thorax and abdominal paracentesis done, after which he experienced pulmonary edema. Air leakage continued, so bullectomy was done, in which we found a connection between the abdominal and left thoracic cavities. His severe but rare pneumoperitoneum was thus caused by pnemothorax after esophageal carcinoma surgery.
