Abstract
Esophageal rupture is a potentially fatal condition. Rapid and correct diagnosis and urgent surgical treatment are mandatory. Various surgical treatment methods have been reported. We introduced a new surgical procedure for treatment of spontaneous esophageal rupture. Upon thoracotomy continuing to laparotomy, a T-tube was inserted into the esophageal lumen through the ruptured site. The ruptured esophageal wall was sutured interruptedly, and the insertion site was covered with the pedicle omental flap. The T-tube was replaced by a thinner catheter tube from postoperative day (POD) 45 and finally withdrawn on POD 66. The patient was discharged in good condition on POD 98. The procedure described here is safe and effective. It is applicable for patients restricted to minimally invasive surgery, those with poor general condition and severely infectious contamination but without a widely necrotic esophageal wall around the ruptured site.
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