Abstract
This is a case report of 69 year-old male, who had been suffering from sudden onset of severe pain extending from anterior chest to back upon drinking water, a day prior to admission. Following day, his pain decreasing in severity, however, esophagography demonstrated leakage of mid portion. The diagnosis of the spontaneous rupture of the esophagus was made. The intrapleural drainage and lavage were then carried out. Consequently, the closure of the rupture was confirmed esophaographically on 32 days after the onset of symptom. As a general rule, spontaneous rupture of the esophagus is usually required early diagnosis and surgical procedure in emergency. In recent, conservative management of the spontaneous rupture is known to be effective and increases reports in literatures. It is true that conservative therapy of the spontaneous rupture of the esophagus is not a wrong procedure, if it is indicated. We report a case of successful treatment of the spontaneous rupture of the esophagus conservatively.
