Spontaneous perforation of the oesophagus is a rare occurrence that is usually due to vomiting and is seldom associated with an oesophageal lesion. We report a case of the spontaneous perforation of a large oesophageal diverticulum not preceded by any precipitating event in a 75-year-old male who was not known to have achalasia. The diverticulum was repaired by emergency surgery. Achalasia was later diagnosed and successfully treated with botulin toxin injection. Surgery decision-making and the treatment of achalasia are discussed.
Spontaneous perforation of an oesophageal diverticulum in achalasia / P. Cantù, A. Bozzani, R. Penagini. - In: DIGESTIVE AND LIVER DISEASE. - ISSN 1590-8658. - 35:10(2003), pp. 735-737.
Spontaneous perforation of an oesophageal diverticulum in achalasia
P. CantùPrimo
;R. PenaginiUltimo
2003
Abstract
Spontaneous perforation of the oesophagus is a rare occurrence that is usually due to vomiting and is seldom associated with an oesophageal lesion. We report a case of the spontaneous perforation of a large oesophageal diverticulum not preceded by any precipitating event in a 75-year-old male who was not known to have achalasia. The diverticulum was repaired by emergency surgery. Achalasia was later diagnosed and successfully treated with botulin toxin injection. Surgery decision-making and the treatment of achalasia are discussed.
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