Successful Non-surgical Treatment in Esophageal Perforation and Mediastinitis: A Case Report

採取非手術方式成功治療食道破裂及縱膈腔發炎－病例報告

黃俊諺(Chun-Yen Huang) ； 蔡光超(Kuang-Chau Tsai) ； 陳宏維(Hung-Wei Chen)

《北市醫學雜誌》 14卷1期 (2017/03) Pp. 85-90

https://doi.org/10.6200/TCMJ.2017.14.1.08

摘要

Objective: We describe a case of esophageal perforation who was successfully treated with non-surgical treatment and discuss other related issues in this report. Case Report: A young man with foreign body ingestion received gastroscopy and had suffered from chest pain 3 days later. The Computed tomography showed severe esophageal perforation. We treated him with non-surgically strategy and the outcome was favorable. Conclusion: Esophageal perforation may be occurred after foreign body ingestion or gastroscopy, and may be diagnosed by highly alerted clinicians. The treatment of esophageal perforation is mainly surgery. However, non-surgical treatment also turn out with good prognosis in patients with lesion contained in the mediastinum.

關鍵字

esophageal perforation ； conservative treatment ； foreign body ； gastroscope

並列摘要

目的：報告一名食道破裂並接受非手術治療成功的案例並作相關討論。病例報告：一名年輕男性異物卡喉並接受胃鏡檢查，三天後胸痛不適，電腦斷層發現是嚴重的食道破裂，但我們採取非手術治療，仍然有良好的預後。結論：食道破裂可能出現在異物卡喉或胃鏡檢查之後，需要臨床醫師高度警覺才能發現。治療主要為開刀，若病灶無侵犯縱膈腔以外且生命徵象穩定，以非手術治療也可以有良好的預後。

並列關鍵字

食道破裂 ； 異物卡喉 ； 電腦斷層 ； 胃鏡 ； 保守性治療