Abstract
A spontaneous esophageal rupture is often repaired under thoracotomy. We successfully treated a case of spontaneous esophageal rupture with a pedicled omental covering and external drainage using a T-tube by trans-abdominal repair. A 44-year-old man was admitted to our hospital because of severe chest pain, back pain and vomiting blood after drinking. The operation was undertaken using an upper middle incision. We confirmed necrotic tissue surrounding perforation of the esophagus, started drainage using T-tube and applied a pedicled omental flap over the perforation. We diagnosed spontaneous esophageal rupture with CT scan and esophagography. T-tube was removed on the 23rd day, and he was discharged on the 39rd day postoperatively. Trans-abdominal repair with a pedicled omental covering and external drainage using a T-tube in spontaneous esophageal rupture is useful and easy compared with trans-chest repair.
