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Spontaneous esophageal perforation within a hiatal hernia : A case report
https://tokushima-u.repo.nii.ac.jp/records/2010814
https://tokushima-u.repo.nii.ac.jp/records/20108146845a542-2639-49eb-b3e3-4495b53b8d2c
| 名前 / ファイル | ライセンス | アクション |
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ijscr_98_107484.pdf (1.04 MB)
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| Item type | 文献 / Documents(1) | |||||||||||||||||||||||
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| 公開日 | 2023-03-23 | |||||||||||||||||||||||
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| アクセス権 | open access | |||||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||||
| 出版社版DOI | ||||||||||||||||||||||||
| 関連識別子 | https://doi.org/10.1016/j.ijscr.2022.107484 | |||||||||||||||||||||||
| 関連名称 | 10.1016/j.ijscr.2022.107484 | |||||||||||||||||||||||
| 出版タイプ | ||||||||||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||||||||
| タイトル | ||||||||||||||||||||||||
| タイトル | Spontaneous esophageal perforation within a hiatal hernia : A case report | |||||||||||||||||||||||
| 著者 |
マキ, ヒデノリ
× マキ, ヒデノリ
× 井上, 聖也× 後藤, 正和
WEKO
591
× 西野, 豪志× 吉田, 卓弘× 滝沢, 宏光
WEKO
1214
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| 内容記述 | Introduction: Spontaneous esophageal perforation, also commonly referred to as Boerhaave's syndrome, is one of the most lethal diseases causing an acute abdomen. Though rare, emergent surgical intervention is often required and management can be various based upon the site of the perforation. This literature has been written in line with the SCARE criteria (Agha et al., 2020) [1]. Presentation of case: A 76-year-old man presented with acute abdominal pain. Computed tomography (CT) revealed and an emergent esophagogastroduodenoscopy (EGD) was performed carefully, which revealed a 7 cm all-layer esophageal laceration in the left lower esophageal wall. In our case, a hiatal hernia was protruding into the mediastinum, and the perforation site was inside of it, but there was no invasion into the thoracic cavity, thus a transabdominal approach was performed without thoracotomy. Discussion: This type of esophageal perforation within a hiatal hernia is quite rare and provides a unique clinical challenge. In addition, A review reported the average length of spontaneous esophageal perforation to be around 2 cm while our case had a perforation with a length of 7 cm. We chose the combination of the simple suture with omental buttress and wide drainage, but a complete fundoplication was impossible due to its large size of perforation. Conclusion: We chose the open abdominal approach because the case had high inflammation, a hiatal hernia and possibility of retro-gastric perforation. However, MIS should have been considered first if a situation or human resources allow it. |
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| 主題 | Spontaneous esophageal perforation | |||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||
| 主題 | Boerhaave's syndrome | |||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||
| 主題 | Hiatal hernia | |||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||
| 主題 | Transabdominal approach | |||||||||||||||||||||||
| 書誌情報 |
en : International Journal of Surgery Case Reports 巻 98, p. 107484, 発行日 2022-08-13 |
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| 収録物識別子タイプ | ISSN | |||||||||||||||||||||||
| 収録物識別子 | 22102612 | |||||||||||||||||||||||
| 出版者 | ||||||||||||||||||||||||
| 出版者 | IJS Publishing Group | |||||||||||||||||||||||
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| 出版者 | Elsevier | |||||||||||||||||||||||
| 権利情報 | ||||||||||||||||||||||||
| 権利情報 | This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). | |||||||||||||||||||||||
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| 識別子 | 393679 | |||||||||||||||||||||||
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| 言語 | eng | |||||||||||||||||||||||
