title: [Very elderly case of spontaneous esophageal rupture successfully treated by conservative treatment;report of a case].
abstract: A 94-year-old female patient presenting with vomiting and hematemesis, was transferred to our hospital. On a chest computed tomography (CT) image, mediastinal emphysema was seen with a little amount of bilateral pleural effusion, therefore, a diagnosis of spontaneous esophageal rupture was made. It took 6 hours to make a definite diagnosis of this disease, and conservative therapies were done including administration of antibiotics and proton-pump inhibitor. The patient was able to drink water on 4th hospital day, and was discharged on 19th hospital day. At about 2 months after the onset, a gastrointestinal fiberscope showed just only scar at the lower thoracic esophagus.
authors.affiliation: Department of Surgery, Itoigawa General Hospital, Itoigawa, Japan.
authors.forename: Kenichi
authors.initials: K
authors.lastname: Tazawa
authors.forename: Kenta
authors.initials: K
authors.lastname: Sukegawa
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Tsuchiya
authors.forename: Fuminori
authors.initials: F
authors.lastname: Yamagishi
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Shimada
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Tsukada
mesh_terms: D000369:Aged, 80 and over; D004935:Esophageal Diseases / Q000628:therapy*; D005260:Female; D006801:Humans; D012422:Rupture, Spontaneous