title: [Spontaneous esophageal rupture after gastrointestinal examination using barium].
abstract: We experienced a case of spontaneous rupture of the esophagus after gastrointestinal examination using barium. A 48-year-old male experienced severe chest pain after vomiting following gastrointestinal examination. Chest X-ray revealed a right pneumothorax and pleural effusion by barium. We diagnosed spontaneous rupture of the esophagus and performed right thoracotomy 6 hours after onset of symptoms. At 10 cm above the diaphragm, there was a vertical perforation 3 cm in length. Following saline lavage, the ruptured esophageal wall was directly closed by the layer to layer method. The post operative course was uneventful and the patient was discharged 3 weeks after surgery. Cases of spontaneous rupture of the esophagus into the right thoracic cavity induced by gastrointestinal examination are extremely rare.
authors.affiliation: Department of Thoracic Surgery, Japanese Red Cross Center, Tokyo, Japan.
authors.forename: R
authors.initials: R
authors.lastname: Masuda
authors.forename: I
authors.initials: I
authors.lastname: Tanaka
authors.forename: Y
authors.initials: Y
authors.lastname: Furuhata
authors.forename: M
authors.initials: M
authors.lastname: Inoue
authors.forename: T
authors.initials: T
authors.lastname: Isoyama
mesh_terms: D001466:Barium Sulfate / Q000009:adverse effects*; D003287:Contrast Media / Q000009:adverse effects*; D004064:Digestive System / Q000000981:diagnostic imaging*; D004935:Esophageal Diseases / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012422:Rupture, Spontaneous; D013536:Suture Techniques; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media; D001466:Barium Sulfate