Spontaneous Esophageal Perforation Concomitant with Acute Coronary Syndrome
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- Ozawa Yosuke
- Department of Surgery, Saiseikai Utsunomiya Hospital
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- Shinozaki Hiroharu
- Department of Surgery, Saiseikai Utsunomiya Hospital
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- Matsumoto Kenji
- Department of Surgery, Saiseikai Utsunomiya Hospital
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- Suzumura Hirofumi
- Department of Surgery, Saiseikai Utsunomiya Hospital
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- Matsuoka Tadashi
- Department of Surgery, Saiseikai Utsunomiya Hospital
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- Inoue Masazumi
- Department of Surgery, Saiseikai Utsunomiya Hospital
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- Sasakura Yuichi
- Department of Surgery, Saiseikai Utsunomiya Hospital
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- Terauchi Toshiaki
- Department of Surgery, Saiseikai Utsunomiya Hospital
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- Kimata Masaru
- Department of Surgery, Saiseikai Utsunomiya Hospital
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- Kobayashi Kenji
- Department of Surgery, Saiseikai Utsunomiya Hospital
Bibliographic Information
- Other Title
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- 急性冠症候群を伴った特発性食道破裂の1例
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Description
<p>A 58-year-old man was admitted to our emergency room with hematemesis and strong epigastralgic pain. He had previously undergone percutaneous coronary intervention (PCI) for acute myocardial infarction, and ST elevation of V1-V5 on electrocardiogram upon arrival suspected acute coronary syndrome (ACS). Chest and abdominal CT scan revealed free air in the mediastinum and pyothorax in the left thoracic cavity. He was given a diagnosis of ACS accompanied by spontaneous esophageal perforation. PCI for ACS preceded the treatment for esophageal perforation. Thoracotomy for esophageal perforation was performed immediately after PCI. Esophageal rupture with a 5-cm longitudinal mucosal laceration in the left lower thoracic esophagus was closed by double layer anastomosis with continuous suture of the mucosa layer and interrupted suture of the muscle layer. The anastomosis was covered by a diaphragmatic patch. ACS and esophageal perforation are both life-threatening diseases in which the patient experiences symptoms of chest pain. This is a very rare case having two differential diseases concomitantly. Esophageal perforation may be followed by vomiting caused by ACS. Early diagnosis and appropriate treatment strategies according to the severity of the diseases are thought to be important in achieving satisfactory results.</p>
Journal
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- The Japanese Journal of Gastroenterological Surgery
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The Japanese Journal of Gastroenterological Surgery 53 (7), 558-565, 2020-07-01
The Japanese Society of Gastroenterological Surgery
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Details 詳細情報について
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- CRID
- 1390566775155993600
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- NII Article ID
- 130007882111
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- ISSN
- 13489372
- 03869768
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed