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- W2316183323 abstract "The number of spontaneous ruptures of the esophagus reported in Japan is still smaller than in Western countries. Delay in diagnosis and inadequate treatment often cause an unfavorable outcome. We present a case of true spontaneous rupture of the esophagus that was repaired surgically. The patient is a 65-year-old man without a drinking habit. He complained of sudden, severe chest and back pain, followed by dyspnea. Under the diagnosis of spontaneous rupture of the esophagus, direct esophageal repair and pleural drainage were performed 15 hours after the onset. Although there was complicating empyema due to the rupture, repeat irrigation, antibiotics and intravenous hyperalimentation cured the abscess in the pleural cavity. The patient recovered after 63 days of hospitalization. The diagnostic accuracy is as low as 35.9%, and it is usual to misdiagnose the condition as perforated peptic ulcer. Gastrografin swallow is the most common diagnostic method, but advances in the esophageal fiberscope have drastically improved the diagnostic accuracy. Surgery is the most important treatment and the timing of surgery is fundamental for a favorable outcome. Therefore, prompt diagnosis and immediate surgery lead to recover of the patient, considering the recent progress in pre- and postoperative management." @default.
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- W2316183323 date "1987-01-01" @default.
- W2316183323 modified "2023-10-04" @default.
- W2316183323 title "A SURGICALLY CURED CASE OF SPONTANEOUS RUPTURE OF THE ESOPHAGUS" @default.
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- W2316183323 doi "https://doi.org/10.3919/ringe1963.48.220" @default.
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