壁側胸膜外膿瘍ドレナージにて治癒した薬剤性食道潰瘍穿孔の1例

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  • MEDICATION CAUSED PERFORATION OF ESOPHAGEAL ULCER WHICH WAS SUCCESSFULLY TREATED BY DRAINAGE OF EXT RAPARIETAL PLEURAL ABSCESS -A CASE REPORT-

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A 73-year-old man who visited another hospital because of abrupt chest and back pain and hematemesis was referred to the hospital for close examination. An emergency endoscopy revealed an ulcer with exposed vessels on the right side wall of the lower esophagus. Hemostatic procedure was conducted. Endoscopy on the next day demonstrated a successful hemostasis, but foam formation was noted in the ulcer base. So a diagnosis of perforation of esophageal ulcer was made. No findings of regurgitant esophagitis were present on endoscopy. The patient had no previous history of esophageal ulcer nor drinking habit, though he had been given antibiotics and non-steroidal anti-inflammatory drug (NSAID) 3 days before admission at another hospital with a diagnosis of acute upper respiratory inflammation. He was in the habit swallowing drugs without water in that retained drugs in the esophagus for a long time might cause the esophageal ulcer which perforated. During clinical observation under conservative treatment, an extraparietal pleural abscess was confirmed. For that CT-guided drainage was conducted with a successful result. The patient was dischaged from the hospital.<br> This case is presented, together with some bibliographical notes on the medication caused perforation of esophageal ulcer and its conservative treatment.

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