Mediastinal Hematoma: A Late Complication of Esophageal Reconstruction by Colon Interposition

食道異物造成的食道破裂常危及生命而需要緊急的手術治療。急性期之後繼之以階段性食道重建是治療的選擇之一。以結腸重建食道的優點包括：較低的逆流發生率、幾乎不受限制的重建長度及保留原有胃的功能。而晚期的併發症包括：吻合處狹窄、重建的結腸皮瓣贅長及逆流。自發性結腸動脈出血導致結腸系膜血腫已有文獻紀錄但極為罕見。我們的病人為一五十歲男性在行結腸重建食道手術十七年後，因結腸動脈出血而導致縱膈腔血腫。

關鍵字

食道重建；結腸皮瓣；併發症；中結腸動脈出血

並列摘要

Esophageal disruption by foreign bodies is often life-threatening, and emergency surgery may be necessary. Staged reconstruction is 1 of the choices of treatment following the acute stage. The advantages of colon interposition include lower reflux incidence, nearly unlimited conduit length, and preservation of gastric reservoir functions. Late complications, including anastomotic stricture, redundancy on the skin flap, and reflux, are well documented. Spontaneous colic arterial hemorrhage causing mesocolonic hematoma has been reported, but is extremely exceptional. We report a 50-year-old male who developed mediastinal hematoma caused by hemorrhage from a small interposed branch of the colic artery 17 years after colon interposition treatment for esophageal perforation.

並列關鍵字

esophageal reconstruction ； colon interposition ； complication ； middle colic artery hemorrhage

國際替代計量

Mediastinal Hematoma: A Late Complication of Esophageal Reconstruction by Colon Interposition

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