A four-year-old boy presented with wheezing of 5 months' duration afte
r a cold. During examination, an opacity was noted in the superior med
iastinum, causing displacement of the trachea to the right. A barium s
wallow showed a mass in the wall of the esophagus, occupying the lumen
, without causing any obstruction. Through further examination by comp
uted tomography and magnetic resonance imaging, the mass was confirmed
to be a lipoma in the wall of esophagus, causing displacement of trac
hea. The mass was removed via the transcervical approach, and the post
operative course was uneventful. Respiratory obstruction caused by a l
ipoma of esophagus in childhood had not been reported in the English l
anguage literature.