内視鏡的食道異物摘出後に発症した胃破裂の1例

概要

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A 78-year-old woman vomited blood on the next day after endoscopic removal of esophageal foreign body (fish bone) . So, she was admitted emergency to our hospital. The Chest radiogram revealed massive free air in the abdominal cavity. We diagnosed a perforation of the gastrointestinal tract. Endoscopic examination revealed a laceration about 3 cm in diameter located from cardia to the upper body of the lesser curvature. So we performed operative treatment laparoscopically. The laceration was appeared at the same location as endoscopic findings. This wound was performed knotted suturing and covered by lesser omentum. The postoperative course was good. Here we present this case because spontaneous rupture of the stomach in an adult is rare. In our country, this disease was reported only 12 cases. The cause of the rupture was various, but in most case, dilatation of the stomach was existed before. Our case was speculated that excessive releasing air during endoscopic examination was the cause.
Japan Gastroenterological Endoscopy Society Kanto Chapterの論文