CASE OF SPONTANEOUS ESOPHAGEAL RUPTURE:ENDOSCOPIC OBSERVATION OF ITS HEALING PROCESS

概要

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A case of spontaneous esophageal rupture which healed by conservative treatment was reported. A 59-year-old male admitted with hematemesis after repeated vomiting. A bleeding lesion in the left side of the lower esophagus was found on emergency esophago-scopy. Esophagogram showed leakage of contrast medium into mediastinum from the lesion. The lesion healed spontaneously only by fasting and administration of antibiotics. Endoscopic and radiographic observation revealed the healing process of the lesion. The rupture of the esophagus was closed rapidly by 17th day from the onset. Careful evaluation of the patient who has symptoms suspecting the esophageal rupture, such as hematemesis after vomiting, may increase the incidence of Boerhaave's syndrome. A small rupture of the esophagus can be treated conservatively, but a care should be taken not to lose an opportunity of surgical intervention, if necessary.