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. 2013 Feb;6(1):33-7.
doi: 10.1007/s12328-012-0356-8. Epub 2013 Jan 3.

Recurrent spontaneous esophageal rupture

Keisuke Ieta  1 , Akira Oki  2 , Katsunobu Teshigahara  2 , Katsuya Osone  2 , Shigeru Sasaki  2 , Junichi Nakamura  2 , Koji Nakagawa  2 , Hiroyuki Kuwano  3
Affiliations

Recurrent spontaneous esophageal rupture

Keisuke Ieta et al. Clin J Gastroenterol. 2013 Feb.

Abstract

Spontaneous rupture of the esophagus is a relatively uncommon event, and recurrent rupture is extremely rare. We present a patient who experienced and survived 2 spontaneous perforations of the esophagus, occurring 6 years apart. A 43-year-old man was admitted to our hospital with upper abdominal pain after vomiting. Esophagoscopy, esophagogram, and computed tomography were suggestive of esophageal rupture. Emergency left thoracolaparotomy revealed a 20-mm perforation of the left lower esophageal wall that had been previously repaired. After the perforation was repaired with a single-layer closure, the mediastinum and pleural cavity were drained. The patient recovered well and was discharged from the hospital on postoperative day 29. To the best of our knowledge, only 7 previous cases of recurrent spontaneous esophageal perforation have been reported in the literature.

Keywords: Esophagus; Recurrence; Review; Spontaneous rupture.

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