Harries K, Masoud A, Brown T H, Richards D G
Department of Surgery, Morriston Hospital, Swansea, UK.
Dis Esophagus. 2004;17(4):348-50. doi: 10.1111/j.1442-2050.2004.00421.x.
A 64-year-old man suffered a spontaneous rupture of the esophagus (Boerhaave's syndrome) after an episode of severe retching. He underwent attempted primary repair of the esophageal defect, but unfortunately the repair failed with the development of a persistent esophago-bronchial fistula resistant to extended conservative management. Three hundred and nineteen days after the initial rupture, the fistula was successfully treated with endoscopic placement of fibrin glue. We believe this to be the first reported case of fibrin sealant being used in the treatment of a long-standing fistula resulting from Boerhaave's syndrome.
一名64岁男性在一次剧烈干呕后发生食管自发性破裂（Boerhaave综合征）。他接受了食管缺损的一期修复尝试，但不幸的是，修复失败，出现了持续性食管支气管瘘，经长期保守治疗无效。在初次破裂319天后，通过内镜下放置纤维蛋白胶成功治疗了该瘘管。我们认为这是首例报道使用纤维蛋白封闭剂治疗Boerhaave综合征导致的长期瘘管的病例。
