交通外傷12年後に診断された外傷性機関食堂瘻の1治験例  [in Japanese] tracheoesophageal fistula after blunt chest trauma 12 years previously : Report of a case  [in Japanese]

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Abstract

交通外傷12年後に診断され, 手術治療した気管食道瘻の1例を報告する. 症例は31歳, 男性. 1987年交通外傷にて両側気胸, 意識消失のため入院加療を受けた. 1999年4月食事摂取時の咳嗽のため受診した. 気管分岐部直上膜様部の径33mm大の気管食道瘻と診断し, 手術を施行した. 瘻孔を食道壁とともに自動縫合器により閉鎖し, 第5肋間筋を間置した. 術後合併症はなく退院し社会復帰している.

We report a case of delayed diagnosis of tracheoesophageal fistula after a motor vehicular accident 12 years previously and describe the subsequent surgical repair. A 31-year-old man sustained a blunt trauma to the right chest during traffic accident in 1987, and was treated for unconsciousness and bilateral pneumothorax. In April, 1999, the patient consulted our hospital for coughing after swallowing. A giant tracheoesophageal fistula measuring about 33 mm in diameter was detected at the membranous wall just above the carina and surgery. was performed. The tracheoesophageal fistula was closed through all esophageal layers using autosuture device. A pedicled fifth intercostal muscle was interposed between the tracheal and esophageal suture lines. The postoperative course was uneventful and he has returned to work without recurrence.

Journal

  • The Journal of the Japanese Association for Chest Surgery

    The Journal of the Japanese Association for Chest Surgery 16(2), 150-156, 2002-03-15

    The Japanese Association for Chest Surgery

References:  30

Cited by:  1

Codes

  • NII Article ID (NAID)
    110001269933
  • NII NACSIS-CAT ID (NCID)
    AN10467885
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    09190945
  • Data Source
    CJP  CJPref  NII-ELS  J-STAGE 
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