Lee Ju-Hyeon, Chae Hiun-Suk, Kim Kwan-Hyoung, Kim Jin-Woo, Wang Young-Pil, Lee Sun-He, Jo Keon-Hyon, Park Jae-Kil, Sim Sung-Bo, Yoon Jeong-Seob, Moon Seok-Whan, Kim Yong-Hwan
Department of Cardiothoracic Surgery, The Catholic University of Korea, College of Medicine, Seoul, Korea.
J Korean Med Sci. 2004 Dec;19(6):887-90. doi: 10.3346/jkms.2004.19.6.887.
A 68-yr-old man complaining of sudden, postprandial chest pain visited the emergency room. His symptom had been aggravated during the preceding two days. Upper gastrointestinal contrast study with gastrographin showed leakage of dye from the epiphrenic diverticulum in the lower third of the esophagus. The primary repair was urgently carried out. Upper gastrointestinal contrast study 14 days after operation revealed an esophageal leakage which was small and confined. The patient was managed with conservative treatments such as intravenous hyperalimentation and broad-spectrum antibiotics. Forty-two days after the operation, a gastrographin swallow study showed the absence of leaks. This is the first reported case of a perforated epiphrenic esophageal diverticulum repaired by delayed primary repair in Korea.
一名68岁男性因餐后突发胸痛前往急诊室就诊。其症状在之前两天有所加重。使用泛影葡胺进行的上消化道造影显示食管下三分之一处的膈上憩室有造影剂渗漏。遂紧急进行了一期修复。术后14天的上消化道造影显示有一个小的局限性食管渗漏。患者接受了静脉高营养和广谱抗生素等保守治疗。术后42天，泛影葡胺吞咽造影显示无渗漏。这是韩国首例报道的通过延迟一期修复治疗的穿孔性膈上食管憩室病例。
