Severe benign esophageal stricture following postoperative emesis

详细信息    查看全文

• 作者：Shinji Mine ; Harushi Udagawa ; Kenji Tsutsumi ; Yoshihiro Kinoshita ; Masaki Ueno ; Kazuhisa Ehara ; Syusuke Haruta and Kenichi Ohashi
• 关键词：Esophageal stricture ; Postoperative emesis ; Esophageal perforation
• 刊名：Esophagus
• 出版年：2008
• 出版时间：December, 2008
• 年：2008
• 卷：5
• 期：4
• 页码：211-214
• 全文大小：304.1 KB

文摘

An 80-year-old man presented with dysphagia after surgery for a hepatic tumor. In the postoperative period, he suffered from emesis and thereafter experienced dysphagia when taking a solid meal. The cause of his dysphagia was a benign lower esophageal stricture that had not been detected during preoperative examinations. Conservative treatment involving balloon dilatation was not effective, and the patient finally underwent a lower esophagectomy with reconstruction of the jejunum interposition from a left thoraco-abdominal approach. Based on his clinical manifestations, pathological findings, and published reports, we suggested that he suffered an incomplete esophageal perforation after emesis that led to esophageal stricture as a result of fibrosis of the esophageal wall. This rare case demonstrates that an esophageal injury caused by postoperative emesis can result in a benign esophageal stricture.