Author:
Deng Yong-jun,Liu Huan-peng,Zou Jian-bin
Abstract
AbstractTreatment of esophageal perforation or rupture is complicated and controversial, especially in advanced cases. In fact, it is generally accepted that this disease must be treated individually according to the location, causes and clinical features of rupture or perforation. A very rare case was admitted to our department, who was injured 5 days ago by high-pressure gas of a running air compressor and resulted in a long-term longitudinal rupture of the thoracic esophagus. Although the patient suffered from empyema and mediastinitis at the same time, and his condition was very serious, the debridement and desquamation of empyema were still implemented, followed by left thoracic esophagectomy and left neck approach esophagogastrostomy in the same period successfully. The patient got a good result finally.
Funder
Yunnan Ten Thousand Tales Plan Top Physician Project of 2020
Publisher
Springer Science and Business Media LLC
Subject
Cardiology and Cardiovascular Medicine,General Medicine,Surgery,Pulmonary and Respiratory Medicine
Reference14 articles.
1. Hayakawa S, Mitsui A, Kato Y, et al. Laparoscopic transhiatal suture closure for spontaneous esophageal rupture: a case report. Surg Case Rep. 2019;5:149.
2. Brisset J, Daix T. Spontaneous community-acquired PVL- producing Staphylococcus aureus mediastinitis in an immunocompetent adult-a case report. 2020; 20:354.
3. Karpitskiĭ AS, Shestiuk AM, Boufalik RI, et al. [A case of successful surgical treatment of spontaneous rupture of the esophagus, complicated by mediastinitis and empyema of the pleura]. Vestn Khir Im I I Grek. 2011;170:82–3.
4. Divisi D, Di Tommaso S, Garramone M, et al. Necrotizing mediastinitis linked to Boerhaave’s syndrome: a surgical approach. Thorac Cardiovasc Surg. 2009;57:57–8.
5. Kijima MAT, Nagao F. Experiences in the diagnosis and treatment of spontaneous rapture of the esophagus. A case of rapture concomitant with a gastric cancer -with a review of preexisting proemetic factors reported in Japan. Jikeikai Med J. 1987;102:1483–987.