Management of an esophagopleural fistula after resection of giant submucosal tumor of the cardia.
Management of an esophagopleural fistula after resection of giant submucosal tumor of the cardia.
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一位24岁的女性因食道固有肌层和贲门的巨大肿块而入院。行粘膜下隧道内窥镜下切除术。标本大小为10×10 cm，术后病理为肌瘤伴红色变性。肿瘤切除后，留下了一个巨大的隧道空洞。我们使用金属夹子夹住隧道入口([视频1])。视频1在第二次和第三次胃镜检查中，将胃管(箭头)插入管腔，通过食道黏膜缺损处进行引流。术后第22天，食道伤口基本愈合。
A 24-year-old woman was admitted with a large mass derived from the muscularis propria of the esophagus and the cardia. Submucosal tunneling endoscopic resection was performed. The size of the specimen was 10× 10 cm, and the postoperative pathology was leiomyoma with red degeneration. After the tumor was removed, a huge tunnel cavity was left. We used metal clips to clamp the tunnel entrance ([Video 1]).Video 1 A gastric tube (arrow) was inserted into the cavity for drainage through the esophageal mucosal defect during the second and third gastroscopies. The esophageal wounds had almost healed by postoperative Day 22.