Division of Thoracic Surgery, Department of Surgery, E-DA Hospital/I-Shou University, Kaohsiung City, Taiwan.
Eur J Cardiothorac Surg. 2012 Feb;41(2):442-4. doi: 10.1016/j.ejcts.2011.06.027. Epub 2011 Dec 12.
We report a woman presenting with unrelenting odynophagia and chest pain. Computed tomography identified a deep neck infection with acute phlegmonous esophagitis. However, esophageal intramural dissection with mucosal rupture occurred after routine nasogastric-tube insertion, and pus was vomited thereafter. The patient was treated with antibiotics and delayed endoscopic closure of the rupture site and made a full recovery. Although the definite pathogenesis remained unclear, esophageal intramural dissection with mucosal rupture, a possible and rare complication of nasogastric-tube insertion, eventually alleviated the acute phlegmonous esophagitis in our patient.
我们报告了一例表现为持续咽痛和胸痛的女性患者。计算机断层扫描发现深部颈部感染合并急性化脓性食管炎。然而，在常规鼻胃管插入后发生食管壁内分离伴黏膜破裂，此后吐出脓液。患者接受抗生素治疗，并延迟内镜下封闭破裂部位，最终完全康复。尽管确切的发病机制仍不清楚，但食管壁内分离伴黏膜破裂是鼻胃管插入的一种可能且罕见的并发症，最终缓解了我们患者的急性化脓性食管炎。
