Korean Journal of Gastrointestinal Endoscopy 1998;18(6): 879-883.
증례 : 식도 위장관 ; 양측 폐농양을 동반한 Boerhaave Syndrome 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Boerhaave Syndrome with Empyema in both Lungs in Alcoholic Liver Cirrhosis )
박성규, 조세현, 임국희, 조재환, 박태욱, 나종순, 송소향, 최규용, 차상복, 박두호 (Sung Gyoo Park, Se Hyun Cho, Kuk Hee Im, Jae Whan Cho, Tae Wook Park, Jong Soon Na, So Hyang Song, Gyu Yong Choi, Sang Bok Cha and Doo Ho Park)
Abstract
Spontaneous esophageal perforation (Boerhaave Syndrome) is an unusual condition that frequently leads to fatal complications. It typically occurs with rigorous emesis after an unduly large meal or heavy drinking. Its diagnosis is often delayed in almost all cases due to nonspecific symptoms and signs, resulting in increased morbidity and mortality. Therefore early diagnosis and appropriate treatment are very important. Recently we experienced a case of esophagogastric junctional perforation accompanied by bilateral empyema and mediastinitis after heavy alcohol drinking in a 56-year-old male patient. He was presented with hematemesis and abdominal pain. We diagnosed him using esophagography and chest CT. Thus, we report a case with a brief review of related literatures. (Korean J Gastrointest Endosc 18: 879-883, 1998)
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