Báo cáo một trường hợp vỡ thực quản tự phát được điều trị khỏi tại Bệnh viện Trung ương 103 Quân đội Nhân dân Lào

Abstract

Objective: To detect early clinical suspicion and symptoms to help diagnose the disease accurately, thereby proposing the right treatment method for patients with perforated thoracic esophagus. Case report: A 48-year-old male patient, with a history of many years of alcohol consumption and chronic gastritis, was admitted to the hospital with sudden onse of chest retrosternal pain and shortness of breath. Initial diagnosis: effusion-pneumothorax in the left pleural cavity. The patient underwent pleural drainage. Then evaluate the drainage. After that patient underwent chest CT scan, endoscopy revealed a perforation of the lower third of the esophagus on the 4^th day of admission. The patient then underwent thoracoscopic surgery, sutured the perforation, cleaned the pleural cavity, combined with broad-spectrum antibiotics and parenteral nutrition. The patient was stable and discharged from the hospital after 3 weeks. Conclusion: Spontaneous esophageal perforation is an acute, serious disease with a high mortality rate. Early diagnosis is difficult. For large lesions, surgery is indicated with a combination of broad-spectrum antibiotics and nil per mouth, intravenous fluids.