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[Spontaneous rupture of the esophagus]
E Cucinotta1, S Gorgone, C Lorenzini
1Cattedra di Chirurgia Generale, Scuola di Specializzazione in Chirurgia Generale, Cattedra di Chirurgia Geriatrica, Università degli Studi di Messina.
Chirurgia Italiana
|January 5, 2002
Abstract:
A series of 8 patients with spontaneous rupture of the esophagus is analysed. Correct diagnosis is difficult. The time lapse between the rupture and diagnosis nevertheless seems to be the most important single factor in the outlook for treatment of spontaneous rupture of the esophagus. Early primary closure of the tear and good drainage of the mediastinum and pleural cavity give the best results in such cases. Sometimes a conservative management should be advocated for the treatment of esophageal perforations.