A Case of Covered Self Expanding Metalic Stent Treatment for Panperitonitis Due to Perforated Lower Esophageal Cancer

Abstract

A 58-year-old man with an advanced cancer in the lower esophagus was emergently admitted to our hospital because of severe pain in the abdomen and the back. He was diagnosed as acute panperitonitis due to perforation of the lower esophageal cancer and immediately underwent surgical treatment with wash and drainage of the abdominal cavity.
Covered SEMS was endoscopicaly inserted in the 27th post operative day, and oral feeding became possible thereafter. He had a good quality of life after being discharged in the 71st post operative day. It is suggested that endoscopical inserting of covered SEMS after the surgical treatment for panperitonitis is effective for the patient with perforated lower esophageal cancer into the abdominal cavity.