食道靜脈瘤の1例に就いて

　從來食道疾患としては腫瘍，異物，食道周囲炎，瘢痕狹窄或いは機能的の食道痙攣等に就いては種々論議されているが，臨床的に食道鏡下に食道靜脈瘤に就いて論ぜられた事は余り聞かない．僅かに不明の出血死で，それが臨床的には不明の食道靜脈瘤の破裂に依る事が解明された報告はある．

　私共は最近57歳の男子で食道異物感を訴え，食道癌の心配の爲めに來院した患者で，食道直接鏡檢査を施行してみた所が，暗紅色，搏動性の膨隆を証明し，勇敢に試驗驗切片を採り，組織学的に限局性浮腫性食道炎と靜脈の拡張を証明した．

Fujita and Inaba report a case of a patient, a man 57 years of age, with esophageal varix which caused the patient to believe a foriegn body had lodged in his esophagus on the left side of the neck. These symptoms having lasted for a period on one month a consultation was finally sought for, for fear of it being a cancer. Esophagascopic examination revealed a mass, situated approxi-mately 22 cm as measured from the margin of incisor teeth, which appeared dark and rather soft to touch. It also presented a weak pulsation which was faintly visible and blanched easily under slight pressure of the instrument. A biopsy specimen was obtained from the mass with con-siderable amount of hemorrhage of dark venous blood. Microscopic examination of the specimen revealed proliferation of epithelial cells, inter-cellular edema, cell infiltration and hypertrophy of venous wall.