Successful Treatment of Septic Shock due to Spontaneous Esophageal Perforation 96 Hours after Onset by Drainage and Enteral Nutrition
| Autor: | Toru Miyake, Shinsuke Takeno, Akinori Iwasaki, Takeshi Shiraishi, Ippei Yamana, Risako Yamashita, Toyoo Shiroshita, Kenji Maki, Hironari Shiwaku, Yuichi Yamashita |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Spontaneous esophageal perforation business.industry Septic shock Mortality rate medicine.medical_treatment Perforation (oil well) Gastroenterology Feeding jejunostomy Published online: December 2014 medicine.disease Mediastinitis Surgery Parenteral nutrition Heart failure Jejunostomy medicine Drainage lcsh:Diseases of the digestive system. Gastroenterology lcsh:RC799-869 business Enteral nutrition |
| Zdroj: | Case Reports in Gastroenterology Case Reports in Gastroenterology, Vol 8, Iss 3, Pp 387-392 (2014) |
| ISSN: | 1662-0631 |
| Popis: | Spontaneous esophageal perforation is relatively uncommon, but carries a high mortality rate if diagnosis or treatment is delayed. We report the case of a 68-year-old man with spontaneous esophageal perforation who was successfully treated over 96 h after onset by thoracic drainage and jejunostomy for enteral nutrition. He vomited after drinking alcohol, soon followed by epigastralgia. Heart failure was suspected on admission to another hospital. Spontaneous esophageal perforation was diagnosed 48 h after admission. Chest tube drainage was performed, but his general condition deteriorated and he was transferred to our hospital. Emergent surgery was performed and esophageal perforation combined with pyothorax and mediastinitis was identified on the left side of the lower esophagus. The left thoracic cavity was rinsed and thoracic drainage was performed. Feeding jejunostomy was performed for postoperative enteral nutrition. Effective drainage and sufficient nutrition management appear extremely valuable in treating spontaneous esophageal perforation. |
| Databáze: | OpenAIRE |
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