Three Cases of Spontaneous Esophageal Rupture.
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Accession number;03A0117070
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| Title;Three Cases of Spontaneous Esophageal Rupture. |
| Author;
SHOJI YASUHITO
(Keijinkai Teine Keijinkai Hospital, JPN)
MIYAZAKI KYOSUKE
(Keijinkai Teine Keijinkai Hospital, JPN)
NAKAMURA FUMITAKA
(Keijinkai Teine Keijinkai Hospital, JPN)
DOKE MITSURU
(Keijinkai Teine Keijinkai Hospital, JPN)
KASHIMURA NOBUICHI
(Keijinkai Teine Keijinkai Hospital, JPN)
KATO HIROYUKI
(Hokkaido Univ.)
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Journal Title;Journal of Japan Surgical Association
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Journal Code:Z0103A
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ISSN:1345-2843
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VOL.64;NO.1;PAGE.60-64(2003)
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| Figure&Table&Reference;FIG.3, TBL.1, REF.15 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Spontaneous esophageal rupture is comparatively rare disease. Being diagnosed and treated in delay, it is likely to cause empyema, mediastinitis, and to result in death. In this paper, we report three cases of spontaneous esophageal perforation, together with some bibliographical comments. Patients are 43 to 73 year-old men. Two of them came to our hospital because of abdominal pain after vomiting and the remaining one because of upper abdominal pain without any cause. The diagnosis was made by their clinical courses, chest X-ray and CT scanning showing emphysema around the esophagus and left pleural effusion. In one patient we made definite diagnosis by esophagoscopy showing a laceration. We did operations within 24 hours in all three patients. The sizes of ruptures in two patients were less than 4cm and ruptures were successfully closed by primary sutures and fundic patch. In one patient its size was 8cm, we emploged only primary suture resulting in suture failure postoperatively. We're obliged to remove the esophagus and reestablish it by a gastric tube and a free jejunal grafting. In case of a large perforation, it would be necessary to reinforce the rupture using the pedicled omentum or flapped diaphragm in additon to primary suture. (author abst.) |
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