Delayed primary repair of perforated epiphrenic diverticulum

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 esophagu...

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Bibliographic Details
Published inJournal of Korean medical science Vol. 19; no. 6; pp. 887 - 890
Main Authors 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
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Academy of Medical Sciences 01.12.2004
Subjects
Aged
Case Report
Diverticulum, Esophageal - complications
Diverticulum, Esophageal - diagnosis
Diverticulum, Esophageal - surgery
Esophageal Perforation - diagnosis
Esophageal Perforation - etiology
Esophageal Perforation - surgery
Esophagectomy - methods
Humans
Male
Time Factors
Treatment Outcome
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Summary: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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1011-8934
1598-6357
DOI:10.3346/jkms.2004.19.6.887