Very elderly case of spontaneous esophageal rupture successfully treated by conservative treatment;report of a case].

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.

Citation

Kenichi Tazawa, Kenta Sukegawa, Yasunori Tsuchiya, Fuminori Yamagishi, Yutaka Shimada, Kazuhiro Tsukada. Very elderly case of spontaneous esophageal rupture successfully treated by conservative treatment;report of a case]. Kyobu geka. The Japanese journal of thoracic surgery. 2013 May;66(5):431-3

PMID: 23674046

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