Altorjay A, Szilágyi A, Sárkány A, Varga I, Jachymczyk G, Paál B, Kecskés G
Saint George University Teaching Hospital, Department of Surgery, Hungary.
Dis Esophagus. 2005;18(3):207-10. doi: 10.1111/j.1442-2050.2005.00466.x.
Although 41% of patients with spontaneous rupture of the esophagus also suffer from gastro duodenal ulcer disease, cases of synchronous spontaneous esophageal and duodenal ulcer perforation have thus far not been reported in the literature. We report on the case of a 61-year-old man who presented with a 72-hour history of esophageal rupture and duodenal ulcer perforation. Following appropriate circulatory resuscitation we performed double resection; involving the esophagus, cardia and the distal part of the stomach, followed by substitution by means of gastro-jejunal transposition as a one-stage procedure. With reference to this case with a favorable outcome, we are presenting an analysis of indications for resectional surgery in advanced spontaneous esophageal perforation.
尽管41%的食管自发性破裂患者也患有胃十二指肠溃疡疾病，但食管和十二指肠同步自发性溃疡穿孔的病例迄今为止在文献中尚未见报道。我们报告一例61岁男性患者，其有72小时食管破裂和十二指肠溃疡穿孔病史。在进行适当的循环复苏后，我们实施了双切除术；切除范围包括食管、贲门和胃远端，然后一期行胃空肠转位替代术。鉴于该病例预后良好，我们对晚期自发性食管穿孔切除手术的适应证进行了分析。
