外科的治療を要した急性食道蜂窩織炎の１例

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  • A Case of Acute Phlegmonous Esophagitis treated Surgically

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A 43-year-old man admitted for high fever, jaundice, dysphagia and elevated C-reactive protein was found in computed tomography (CT) to have diffuse wall thickening of the esophagus with intramural low density. En-doscopy showed the esophageal wall to be edematous and a blood culture indicated Klebsiella pneumoniae, yielding a diagnosis of acute phlegmonous esophagitis. After intravenous antibiotics, he improved but experi-enced dysphagia and odynophagia. Repeated chest CT and endoscopy following day 100 of hospitalization showed esophageal stenosis and extraluminal barium leakage. On day 126, we conducted right hemicolic inter-position for esophageal reconstruction. The postoperative course was uneventful and he was discharged on postoperative day 54.

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