Conservative treatment of esophageal perforation related to a peptic ulcer with pyloric stenosis

We report a case of esophageal perforation (Boerhaave syndrome) caused by vomiting related to a duodenal ulcer with pyloric stenosis. A 45-year-old male presented with left chest pain and dyspnea after forceful vomiting. Chest radiography and computed tomography (CT) revealed a massive left pleural...

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Vydáno v:Clinical journal of gastroenterology Ročník 7; číslo 4; s. 295 - 298
Hlavní autoři: Tanaka, Ryo, Kosugi, Shin-ichi, Sato, Daisuke, Hirukawa, Hiroshi, Tada, Tetsuya, Ichikawa, Hiroshi, Hanyu, Takaaki, Ishikawa, Takashi, Kobayashi, Takashi, Wakai, Toshifumi
Médium: Journal Article
Jazyk:angličtina
Vydáno: Tokyo Springer Japan 01.08.2014
Témata:
Abdominal Surgery
Case Report
Colorectal Surgery
Duodenal Ulcer - complications
Esophageal Perforation - etiology
Esophageal Perforation - therapy
Gastroenterology
Hepatology
Humans
Male
Mediastinal Diseases - etiology
Mediastinal Diseases - therapy
Medicine
Medicine & Public Health
Middle Aged
Pyloric Stenosis - complications
Remission Induction
Surgical Oncology
Pyloric stenosis
Esophageal perforation
Conservative treatment
ISSN:1865-7257, 1865-7265, 1865-7265
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Abstract We report a case of esophageal perforation (Boerhaave syndrome) caused by vomiting related to a duodenal ulcer with pyloric stenosis. A 45-year-old male presented with left chest pain and dyspnea after forceful vomiting. Chest radiography and computed tomography (CT) revealed a massive left pleural effusion and left tension pneumothorax. Abdominal CT revealed pyloric stenosis with a remarkably dilated stomach. Tube thoracostomy and nasogastric suction were immediately performed and we selected conservative treatment based on the following factors—a stable general condition without sepsis, early diagnosis, and good drainage. Esophagogastroduodenoscopy on hospital day 9 demonstrated a healing ulcer in the lower esophagus and pyloric stenosis. We performed distal gastrectomy as elective surgery for pyloric stenosis due to a duodenal ulcer on hospital day 30. In summary, an esophageal perforation with contamination spreading to the thoracic cavity was successfully treated with conservative treatment.
AbstractList We report a case of esophageal perforation (Boerhaave syndrome) caused by vomiting related to a duodenal ulcer with pyloric stenosis. A 45-year-old male presented with left chest pain and dyspnea after forceful vomiting. Chest radiography and computed tomography (CT) revealed a massive left pleural effusion and left tension pneumothorax. Abdominal CT revealed pyloric stenosis with a remarkably dilated stomach. Tube thoracostomy and nasogastric suction were immediately performed and we selected conservative treatment based on the following factors-a stable general condition without sepsis, early diagnosis, and good drainage. Esophagogastroduodenoscopy on hospital day 9 demonstrated a healing ulcer in the lower esophagus and pyloric stenosis. We performed distal gastrectomy as elective surgery for pyloric stenosis due to a duodenal ulcer on hospital day 30. In summary, an esophageal perforation with contamination spreading to the thoracic cavity was successfully treated with conservative treatment.
We report a case of esophageal perforation (Boerhaave syndrome) caused by vomiting related to a duodenal ulcer with pyloric stenosis. A 45-year-old male presented with left chest pain and dyspnea after forceful vomiting. Chest radiography and computed tomography (CT) revealed a massive left pleural effusion and left tension pneumothorax. Abdominal CT revealed pyloric stenosis with a remarkably dilated stomach. Tube thoracostomy and nasogastric suction were immediately performed and we selected conservative treatment based on the following factors-a stable general condition without sepsis, early diagnosis, and good drainage. Esophagogastroduodenoscopy on hospital day 9 demonstrated a healing ulcer in the lower esophagus and pyloric stenosis. We performed distal gastrectomy as elective surgery for pyloric stenosis due to a duodenal ulcer on hospital day 30. In summary, an esophageal perforation with contamination spreading to the thoracic cavity was successfully treated with conservative treatment.We report a case of esophageal perforation (Boerhaave syndrome) caused by vomiting related to a duodenal ulcer with pyloric stenosis. A 45-year-old male presented with left chest pain and dyspnea after forceful vomiting. Chest radiography and computed tomography (CT) revealed a massive left pleural effusion and left tension pneumothorax. Abdominal CT revealed pyloric stenosis with a remarkably dilated stomach. Tube thoracostomy and nasogastric suction were immediately performed and we selected conservative treatment based on the following factors-a stable general condition without sepsis, early diagnosis, and good drainage. Esophagogastroduodenoscopy on hospital day 9 demonstrated a healing ulcer in the lower esophagus and pyloric stenosis. We performed distal gastrectomy as elective surgery for pyloric stenosis due to a duodenal ulcer on hospital day 30. In summary, an esophageal perforation with contamination spreading to the thoracic cavity was successfully treated with conservative treatment.
Author Tada, Tetsuya
Sato, Daisuke
Ishikawa, Takashi
Hanyu, Takaaki
Kosugi, Shin-ichi
Tanaka, Ryo
Hirukawa, Hiroshi
Ichikawa, Hiroshi
Wakai, Toshifumi
Kobayashi, Takashi
Author_xml – sequence: 1
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  surname: Tanaka
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  givenname: Shin-ichi
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  surname: Sato
  fullname: Sato, Daisuke
  organization: Division of Digestive Surgery, Tachikawa Medical Center
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  organization: Division of Digestive Surgery, Tachikawa Medical Center
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  surname: Tada
  fullname: Tada, Tetsuya
  organization: Division of Digestive Surgery, Tachikawa Medical Center
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  organization: Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences
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  givenname: Toshifumi
  surname: Wakai
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  organization: Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences
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Esophageal perforation
Conservative treatment
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Snippet We report a case of esophageal perforation (Boerhaave syndrome) caused by vomiting related to a duodenal ulcer with pyloric stenosis. A 45-year-old male...
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SubjectTerms Abdominal Surgery
Case Report
Colorectal Surgery
Duodenal Ulcer - complications
Esophageal Perforation - etiology
Esophageal Perforation - therapy
Gastroenterology
Hepatology
Humans
Male
Mediastinal Diseases - etiology
Mediastinal Diseases - therapy
Medicine
Medicine & Public Health
Middle Aged
Pyloric Stenosis - complications
Remission Induction
Surgical Oncology
Title Conservative treatment of esophageal perforation related to a peptic ulcer with pyloric stenosis
URI https://link.springer.com/article/10.1007/s12328-014-0493-3
https://www.ncbi.nlm.nih.gov/pubmed/26185876
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Volume 7
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