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J Korean Soc Emerg Med > Volume 35(1); 2024 > Article
Journal of The Korean Society of Emergency Medicine 2024;35(1): 85-88.
기흉으로 내원하여 흉관삽관 후 악화된 식도파열 환자 1례
장석빈1 , 고찬영2 , 김용오2
1단국대학교병원 내과
2단국대학교병원 응급의학과
Esophageal rupture worsened after chest tube insertion in an esophageal rupture patient who presented with pneumothorax
Suk Bin Jang1 , Chan-Young Koh2 , Yong Oh Kim2
1Department of Internal Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Republic of Korea
2Department of Emergency Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Republic of Korea
Correspondence  Yong Oh Kim ,Tel: 041-550-6840, Fax: 041-550-7054, Email: sitcomlife@naver.com,
Received: March 11, 2023; Revised: July 22, 2023   Accepted: August 25, 2023.  Published online: February 28, 2024.
ABSTRACT
Spontaneous rupture of the esophagus wall is a rare, life-threatening condition, and the diagnosis of esophageal rupture is challenging as history and symptoms can be nonspecific. In some cases, chest radiography can reveal pneumothorax. We report a case of aggravated esophageal rupture after chest tube intubation in an esophageal rupture patient with pneumothorax. Interventionists should be aware that esophageal rupture may present as pneumothorax and that chest tube insertion can exacerbate esophageal rupture.
Key words: Esophageal perforation; Pneumothorax; Chest tubes
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