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Perforation of the abdominal segment of the esophagus.

Five patients with perforation of the abdominal segment of the esophagus are described. In two patients with tear of the abdominal segment alone, perforation occurred into the retroperitoneal space. In the other three, there was a tear that extended above the diaphragm, and perforation was into both the thorax and lesser sac in one and into both the thorax and retroperitoneal space in the other two. The clinical manifestations and treatment of these patients differ from those of the more common intrathoracic perforation.

Abdomen↗

[Enucleation for a giant esophageal leiomyoma; report of a case].

A 32-year-old man was referred to our hospital because of a mediastinal tumor with mild dysphagia. Computed tomography (CT) showed that the tumor was located in the neck and the posterior mediastinum. An esophagogram demonstrated severe distortion of the esophageal lumen and an endoscopic examination disclosed a submucosal bulge covered by normal mucosa with no erosion and no ulceration. A CT-guided needle biopsy for neck lesion of the tumor was performed and the histopathological diagnosis was an esophageal leiomyoma. Complete enucleation via a left anteroaxillary thoracotomy for the tumor was performed without perforation of esophageal mucosa. The resected tumor was 12 cm in size. The final diagnosis of the resected tumor located in the cervical, upper, middle and intramural esophagus was a rare giant esophageal leiomyoma. Postoperative course was uneventful. We suggested that enucleation with an operative procedure selected carefully for a giant esophageal leiomyoma was attempted for preservation of esophageal function.

Adult↗

[Oesophageal perforations].

The subject of oesophageal perforations is wide enough to make any comparison of therapeutical methods and their respective results very difficult, if not impossible. Therefore, the authors aim to specify individual perforation types and their therapeutical management.

Esophageal Perforation↗