Abstract
A case of spontaneous rupture of the esophageal diverticulum of the lower esophagus is presented. A 47-year-old man was referred to our emergency center with the chief complaint of chest pain which occurred suddenly at midnight without vomiting. Chest X-ray films and CT scan showed pleural effusion, pneumomediastinum and subcutaneous emphysema of the neck. Gastrografin study showed a perforation of the lower esophagus into the left thoracic cavity. Endoscopic examination revealed a diverticulum of the lower esophagus, a perforation at the top of this diverticulum and white exudate into diverticulum. We performed primary closure through thracotomy 43 hours after the onset of pain. After surgery, mediastinal abscess and pyothorax developed; therefore, we performed open chest drainage followed by esophagostomy. In addition, we performed esophagectomy and esophagogastrostomy through the anterior-thoracic wall route about 7 months after the first operation. His course was uneventful after the final operation. Perforation of the esophageal diverticulum has been reported in only 10 cases in Japan. Perforation of the esophagus without vomiting should be taken into consideration in esophageal diverticulum.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
