[A complicated case of spontaneous oesophageal rupture managed by transgastric drainage].
Spontaneous rupture of the oesophagus is an extremely serious condition with high morbidity and mortality. Primary surgical repair may be followed by numerous complications. A 29-year-old man had undergone primary surgical repair due to spontaneous rupture of the lower third of the oesophagus. After the operation he developed suture insufficiency, which could not have been stented, and transgastric drainage was performed therefore. After a slow healing of the fistula, we could avoid another operation and his oesophagus was preserved. Fortunately, a stricture did not develop either. Transgastric drainage of the oesophagus could be a good therapeutic choice in selective and complicated cases.
Veres
Lukács
L
Mellkassebészeti Központ, Debreceni Egyetem Orvos- és Egészségtudományi Centrum, Sebészeti Intézet, 4032 Debrecen, Móricz Zs. körút 22. veres.lukacs@freemail.hu
Sz Kiss
Sándor
S
Kiss
Regina
R
Enyedi
Attila
A
Végh
Tamás
T
Damjanovich
László
L
Takács
István
I
D000328:Adult; D004322:Drainage / Q000379:methods*; D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007813:Laparotomy; D008297:Male; D012422:Rupture, Spontaneous / Q000150:complications; D013270:Stomach; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed