Abstract
We experienced a patients with spontaneous rupture of the esophagus who was sulvaged by cardioplasty with gastric patch (fundic patch) 30 hours after the onset. Sudden vomiting, epigastralgia and dyspnea after a meal occurred in a 64-year-old female. Chest X-ray examinations showed a pleural effusion in the left lung field on the 2nd day after admission to the hospital. We make a diagnosis of spontaneous rupture of the esophagus, because fiberoptic esophagoscopy revealed a perforative lesion in the lower esophagus. Cardioplasty with gastric patch (fundic patch) was performed 30 hours after the onset. Postoperative course of the patient was progressing favorable. This surgical procedure (fundic patch) was very useful in this patient with spontaneous esophageal rupture who was missed due to delayed diagnosis.
