保存的治療により救命し得た特発性食道破裂の１例

DOI 被引用文献2件 参考文献12件

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  • A Case of Spontaneous Esophageal Rupture Successfully Treated by Conservative Therapy

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Spontaneous esophageal rupture is often lethal and requires early diagnosis and appropriate treatment. Here, we present a spontaneous esophageal rupture that was conservatively cured by effective drainage and washing. A 56-year-old male presented with dorsolumbar pain after vomiting because of excessive alcohol consumption. Mediastinal emphysema was seen on a chest X-ray and CT image, and a diagnosis of spontaneous esophageal rupture was made. About six hours from onset was required to make a definite diagnosis. Although a nasogastric tube was inserted and antibiotics were administered, left pleural effusion was observed on the third hospital day so the thoracic cavity was drained. Subsequentl continuous irrigation using a trocar, doses of antibiotics and nutritional administration via high-calorie transfusion were performed, and fistula closure was eventually visualized on the 42nd hospital day. The patient was discharged from the hospital on 89th hospital day.

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