Spontaneous rupture of the esophagus with extensive bowel necrosis caused by nonocclusive mesenteric ischemia: report of a case

被引：0

作者：

Nakashima, Shingo ^{[1
]}

Shiozaki, Atsushi ^{[1
]}

Fujiwara, Hitoshi ^{[1
]}

Murayama, Yasutoshi ^{[1
]}

Komatsu, Shuhei ^{[1
]}

Ikoma, Hisashi ^{[1
]}

Kuriu, Yoshiaki ^{[1
]}

Nakanishi, Masayoshi ^{[1
]}

Ichikawa, Daisuke ^{[1
]}

Okamoto, Kazuma ^{[1
]}

Ochiai, Toshiya ^{[1
]}

Kokuba, Yukihito ^{[1
]}

Otsuji, Eigo ^{[1
]}

机构：

[1] Kyoto Prefectural Univ Med, Div Digest Surg, Dept Surg, Kamigyo Ku, Kyoto 6028566, Japan

来源：

SURGERY TODAY | 2012年 / 42卷 / 11期

基金：

日本学术振兴会;

关键词：

Spontaneous rupture of the esophagus; Nonocclusive mesenteric ischemia; BOERHAAVES-SYNDROME; DIAGNOSIS;

D O I：

10.1007/s00595-012-0195-8

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We report a case of spontaneous rupture of the esophagus accompanied by extensive bowel necrosis caused by nonocclusive mesenteric ischemia. The patient was treated successfully with prompt surgical intervention after an early diagnosis. A 61-year-old man was admitted to our hospital complaining of abdominal pain after drinking. On arrival, he was suffering shock. Thoracoabdominal computed tomography and esophagoscopy findings were highly suggestive of rupture of the esophagus above the esophagogastric junction and extensive bowel necrosis. Emergency laparotomy revealed extensive bowel necrosis from the jejunum to the transverse colon; thus, we resected the entire affected region and performed jejunostomy and transverse colostomy. After suturing the esophageal perforation directly, we performed intramediastinal packing of the omentum and inserted drains. The patient recovered well and was discharged from hospital on postoperative day 126. To the best of our knowledge, this is the first case report of spontaneous rupture of the esophagus with nonocclusive mesenteric ischemia.

引用

页码：1107 / 1110

页数：4

共 12 条

[1] Fulminant Nonocclusive Mesenteric Ischemia Just after Hip Arthroplasty
Auxiliadora-Martins, Maria
Alkmin-Teixeira, Gil Cezar
Feres, Omar
Martins-Filho, Olindo Assis
Basile-Filho, Andanibal
[J]. CASE REPORTS IN MEDICINE, 2010, 2010
[2] Bjerke H S, 1994, Chest Surg Clin N Am, V4, P819
[3] Brauer R B, 1997, Dis Esophagus, V10, P64
[4] SELECTIVE NONOPERATIVE MANAGEMENT OF CONTAINED INTRA-THORACIC ESOPHAGEAL DISRUPTIONS
CAMERON, JL
KIEFFER, RF
HENDRIX, TR
MEHIGAN, DG
BAKER, RR
[J]. ANNALS OF THORACIC SURGERY, 1979, 27 (05) : 404 - 408
[5] Spontaneous Rupture of the Oesophagus: Boerhaave's Syndrome in 2008 Literature Review and Treatment Algorithm
de Schipper, J. P.
ter Gunne, A. F. Pull
Oostvogel, H. J. M.
van Laarhoven, C. J. H. M.
[J]. DIGESTIVE SURGERY, 2009, 26 (01) : 1 - 6
[6] Ikeda O, 2006, JPN J GASTROENTEROL, V39, P1844
[7] Survival of Three Nonocclusive Mesenteric Ischemia Patients following Early Diagnosis by Multidetector Row Computed Tomography and Prostaglandin E1 Treatment
Kamimura, Kenya
Oosaki, Akihiko
Sugahara, Satoshi
Mori, Shigeki
[J]. INTERNAL MEDICINE, 2008, 47 (22) : 2001 - 2006
[8] Matsuda Akihisa, 2006, Journal of Nippon Medical School, V73, P341, DOI 10.1272/jnms.73.341
[9] The diagnosis and treatment of esophageal perforations resulting from nonmalignant causes
Mizutani, K
Makuuchi, H
Tajima, T
Mitomi, T
[J]. SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY, 1997, 27 (09): : 793 - 800
[10] Shinozuka Eriko, 2010, Journal of Nippon Medical School, V77, P338, DOI 10.1272/jnms.77.338

← 1 2 →