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出血性食管肺瘘:难治性贲门失弛缓症中淤滞性溃疡的罕见并发症。

A bleeding esophagopulmonary fistula: rare complication of stasis ulcer in refractory achalasia.

作者信息

Tan Jeremy T H, Dudi-Venkata Nagendra N, Neelankavil Shelbin I, Sanders Lucas H A

机构信息

*Department of General Surgery, Sir Charles Gairdner Hospital, Hospital Ave, Nedlands ‡Department of Cardiothoracic Surgery, Lung Institute of Western Australia, Sir Charles Gairdner Hospital, Hospital Ave, Nedlands †Department of General Surgery, St. John of God Hospital, Subiaco §School of Surgery, University of Western Australia, Crawley, WA.

出版信息

Surg Laparosc Endosc Percutan Tech. 2014 Apr;24(2):e77-9. doi: 10.1097/SLE.0b013e31828fa078.

DOI:10.1097/SLE.0b013e31828fa078
PMID:24686369
Abstract

Achalasia refractory to Heller cardiomyotomy is a rare problem. Complications arising from long-standing achalasia include perforation because of stasis ulcers and malignancy. Here, we report a case of refractory achalasia presenting with recurrent hematemesis because of a perforated stasis ulcer leading to a bleeding esophagopulmonary fistula.

摘要

对贲门肌层切开术无效的贲门失弛缓症是一个罕见问题。长期贲门失弛缓症引发的并发症包括因淤滞性溃疡导致的穿孔和恶性肿瘤。在此,我们报告一例难治性贲门失弛缓症病例,该病例因淤滞性溃疡穿孔导致食管肺瘘出血,进而出现反复呕血。

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引用本文的文献

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A Rare Case of a Life-Threatening Massive Upper Gastrointestinal Bleed and Airway Obstruction in a Patient With a Megaesophagus Secondary to Longstanding Achalasia.一例罕见的贲门失弛缓症继发巨食管患者出现危及生命的大量上消化道出血和气道梗阻病例
Cureus. 2021 Feb 7;13(2):e13204. doi: 10.7759/cureus.13204.
2
Massive esophageal bleeding in long-standing achalasia complicated by esophageal carcinoma and aspirin-induced stasis ulcer: Case report.长期贲门失弛缓症并发食管癌及阿司匹林所致淤血性溃疡导致的大量食管出血:病例报告
Medicine (Baltimore). 2019 Jul;98(30):e16519. doi: 10.1097/MD.0000000000016519.