A Case of Spontaneous Rupture of the Upper-middle Esophagus Developed in a Patient with Aortitis Syndrome

DOI Web Site Web Site 1 Citations 4 References
  • HAMADA Takashi
    Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences
  • KANETAKA Kengo
    Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences
  • YONEDA Akira
    Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences
  • TAKATSUKI Mitsuhisa
    Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences
  • KUROKI Tamotsu
    Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences
  • EGUCHI Susumu
    Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences

Bibliographic Information

Other Title
  • 大動脈炎症候群の経過中に発症した胸部上部～中部特発性食道破裂の1例
  • 症例 大動脈炎症候群の経過中に発症した胸部上部~中部特発性食道破裂の1例
  • ショウレイ ダイドウミャクエン ショウコウグン ノ ケイカ チュウ ニ ハッショウ シタ キョウブ ジョウブ~チュウブ トクハツセイ ショクドウ ハレツ ノ 1レイ

Search this article

Abstract

Spontaneous rupture of the esophagus commonly affects the lower thoracic esophagus. We herein report a rare case of spontaneous rupture of the upper-middle esophagus in the chest relieved by conservative therapy. A woman in her sixties was admitted to the hospital because of continuous chest pain after vomiting. She had been suffered from aortitis syndrome, taking 8 mg/day of PSL for approximately 40 years. Chest computed tomography (CT) showed air bubbles outside of the esophageal wall at the site of the tracheal bifurcation, while upper gastrointestinal endoscopy revealed a longitudinal ulcer in the upper to middle portion of the esophagus. Spontaneous rupture of the esophagus was highly suspected, however, the patient's mediastinitis was localized and her general condition had not deteriorated. Therefore, we treated her conservatively, maintaining the dose of steroids at 10 mg to control the aortitis syndrome.<BR>After confirming a decrease in air bubbles on chest CT on the fourth hospital day, the patient was allowed to resume oral intake on the 15th hospital day. She was subsequently discharged from the hospital on the 43rd hospital day.<BR>We speculate that vulnerability of the adjacent esophageal wall due to the patient's long history of aortitis syndrome and steroid treatment may have played an important role in the etiology of rupture in this case.

Journal

Citations (1)*help

See more

References(4)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top