Cirugía General, Hospital 12 de Octubre, España.
Hospital 12 de Octubre.
Rev Esp Enferm Dig. 2019 Nov;111(11):884-886. doi: 10.17235/reed.2019.6322/2019.
Emphysematous esophagitis is an extremely rare disease and there are very few previous reports in the literature. We report a case of emphysematous esophagitis and gastritis with complete affectation of the gastric and esophageal wall at diagnosis. Two surgical interventions were performed due to gastric perforation that was treated in both cases with primary closure. The post-operative recovery was satisfactory. Despite the large emphysematous esophago-gastritis affectation at diagnosis and the presence of gastric perforation, it is safe to perform the same management principles as with emphysematous gastritis. This should be as conservative as possible in case a surgical procedure is required.
气肿性食管炎是一种极为罕见的疾病，文献中之前的报道很少。我们报告了一例气肿性食管炎和胃炎，在诊断时胃和食管壁完全受累。由于胃穿孔，进行了两次手术干预，两种情况下均采用了一期缝合进行治疗。术后恢复满意。尽管在诊断时存在广泛的气肿性食管炎和胃穿孔，但可以安全地遵循与气肿性胃炎相同的治疗原则。如果需要手术，应尽可能保守。
