A Case of 28-year-old Man with Spontaneous Esophageal Rupture Caused by Acute Gastroenteritis

DOI Web Site Web Site 2 References
  • NAKAGAWA Tomohiko
    Department of Gastrointestinal Surgery, Iwate Prefectural Central Hospital
  • MURAKAMI Kazushige
    Department of Gastrointestinal Surgery, Iwate Prefectural Central Hospital
  • MIYATA Go
    Department of Gastrointestinal Surgery, Iwate Prefectural Central Hospital
  • USUDA Masahiro
    Department of Gastrointestinal Surgery, Iwate Prefectural Central Hospital
  • INOUE Tsukasa
    Department of Gastrointestinal Surgery, Iwate Prefectural Central Hospital
  • SAITO Yukihiko
    Department of Gastrointestinal Surgery, Iwate Prefectural Central Hospital

Bibliographic Information

Other Title
  • 急性胃腸炎に併発した28歳特発性食道破裂の1例
  • 症例 急性胃腸炎に併発した28歳特発性食道破裂の1例
  • ショウレイ キュウセイ イチョウエン ニ ヘイハツ シタ 28サイ トクハツセイ ショクドウ ハレツ ノ 1レイ

Search this article

Abstract

We present a case of spontaneous esophageal rupture caused by acute gastroenteritis in a juvenile patient.<BR>A 28-year-old man visited a neighboring hospital because of severe chest and back pain occurred immediately after diarrhea and vomiting associated with acute gastroenteritis. Then he was brought into our hospital by ambulance for the purpose of close exploration and treatment. When he arrived at our hospital, a chest x-ray film showed decreased translucency in the left lower lung field. A chest CT scan revealed left pleural effusion and mediastinal emphysema surrounding the lower thoracic esophagus. Upper gastrointestinal series showed outpouring of contrast medium from the left side of the lower thoracic esophagus into the left thoracic vavity. Spontaneous esophageal rupture was diagnosed, and an emergency operation was performed 10 hours after the onset of the disease. A left posterolateral thoracotomy through the seventh intercostal space revealed a 5-mm sized perforation on the left side of the lower thoracic esophagus and food residual in the thoracic cavity. Since the inflammatory findings were slight, the perforated site was closed by sutures in two layers. His postoperative course was uneventful. He resumed to ingest from the 10th postoperative day and was discharged on the 21st postoperative day.<BR>Although acute gastroenteritis is a common disease, we should keep in mind that it can cause spontaneous esophageal rupture even in a juvenile patient.

Journal

References(2)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top