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유영만,이남수,손광현 인제대학교 1985 仁濟醫學 Vol.6 No.2
저자들은 식도천공을 일으킬 수 있는 여러 요인들(Iatrogenic, 이물, 외상, 산염기물질, 암, 방사선치료 등) 중에서 가장 드문 경우에 해당이 되는 특발성 천공-Boerhaave Syndrome 1예를 치험하였기에 보고하는 바이다. Spontaneous rupture of the esophagus remains a medical and surgical challenge. Its diagnosis is often missed or delayed resulting in increased morbidity and mortality, and controversy exists as to the mode of therapy for the cases seen later than 12 hours after rupture. A sixty five year old male who has complained chest pain and dyspnea was admitted to this chest surgical department on June 14,1984. Physical findings were those of acutely ill appearance, and expiratory wheezing. Roentgen examination of the chest revealed widened mediastinum, pneumomediastinum, and diffuse radiodensity in the left lower lung field, suggestive of Boerhaave Syndrome. Emergency exploration eliciting the findings of whole layer vertical laceration of the esophagus, accompanied with abscess cavity walled with necrotic mediastinal pleura. Correction of the lacerated esophagus was carried out with primary repair and drainage. Boerhaave Syndrome is rare and mortality is extremely high. Therefore the literatures have reviewed and the case is reported.