Spontaneous Esophageal Rupture: A Case Report

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  • 特発性食道破裂の1例

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A 50-year-old man was brought to our hospital due to onset of left chest pain while drinking alcohol. Chest computed tomography showed mediastinal emphysema and left pleural effusion. Left thoracic drainage showed a black effusion contaminated with food residue. An esophagogram showed extravasation of contrast medium from the lower esophagus into the left pleural cavity. We diagnosed spontaneous esophageal rupture. Surgery was performed 15 hours after the onset. Primary repair without reinforcement, drainage, and gastrostomy were performed via a left thoraco-abdominal serial incision. The patient was discharged on the 31st postoperative day. When surgery is performed early and the perforation site is small without necrotic change, there is a possibility of reinforcement not being necessary.

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