JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 22, Issue 3 (May 2017)
Japanese

Laparoscopic transhiatal repair and transhiatal thoracic drainage for Boerhaave's syndrome : A case report Ryuta IDE 1 , Takahisa SUZUKI 1 , Takashi URUSHIHARA 1 , Toshiyuki ITAMOTO 1 1Department of Gastroenterological Surgery, Hiroshima Prefectural Hospital Keyword: 特発性食道破裂 , 腹腔鏡下手術 , 縦隔ドレナージ pp.327-332
Published Date 2017/5/15
DOI https://doi.org/10.11477/mf.4426200407
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Spontaneous esophageal rupture, also known as Boerhaave's syndrome(BS), is an uncommon and potentially lethal pathological condition. We report a case of BS that was successfully treated by primary closure and drainage laparoscopically. A 78-year-old woman was admitted to our hospital with epigastric pain after dinner. A thoracic CT scan revealed mediastinal emphysema. Spontaneous rupture of the esophagus was confirmed on esophagography which demonstrated an evidence of perforation in the right wall of the lower esophagus. We conducted emergent laparoscopic transhiatal approach repair and transhiatal thoracic drainage. The patient was discharged on the 58th post-operative day without a serious postoperative complication. Laparoscopic surgery is effective for spontaneous esophageal rupture with contamination to be confined to the mediastinum.


Copyright © 2017, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

13446703.22.3.jpg
日本内視鏡外科学会雑誌
22巻3号 (2017年5月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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