Abstract:A 47-year-old male was admitted because of severe chest pain after repeated vomiting. A little amount of coffeegrounds was seen in the vomitus, and emergency endoscopic examination was performed 1 hour after the onset of symptoms. Endoscopy demonstrated a lacerated wound about 3 cm long on each side of the terminal esophagus. With a diagnosis of spontaneous rupture of the esophagus, a primary closure of the rupture was performed 4 hours after the onset, and a pedicled omental graft was applied over the suture … Show more
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