A Case of Middle Intra-thoracic Esophageal Ulcer

Hiroshi Kasahara, Yutaka Hamabe, Michio Kato, Harumasa Ohyanagi, Yoichi Saitoh, Shunichi Sugihara*, Kazunori Inoue*, Takahiro Fujimori**

First Department of Surgery, Kobe University School of Medicine
*Department of Surgery, Nakatsu Saiseikai Hospital
**Second Department of Pathology, Kobe University School of Medicine

In recent years, detection of esophagitis and esophageal ulcer has been developed with medical advancement, but middle intra-thoracic esophageal ulcer has rarely been reported. Herein we report a case of middle intra-thoracic esophageal ulcer. A 56 year-old male was transfered to this hospital because of fever and retrosternal pain, and there was no past history of caustine or medication. An esophageal roentgenogram and esophagoscopy revealed a large ulcer located at 26 cm from the incisors, and the biopsy specimen revealed no malignant cells. He was treated with antacids and TPN, but an emergency esophagectomy was necessary because of sudden massive hematemesis. Grossly, the lesion was located in the upper two-thirds of the esophagus with sharply demarcated margins. No ulcerations nor tumors were found in the lower third of the esophagus and stomach. Microscopic findings showed an active, well-developed, chronic ulceration.

Key words
middle intra-thoracic esophageal ulcer, nonspecific esophageal ulcer

Reprint requests
Hiroshi Kasahara First Department of Surgery, Kobe University School of Medicine
7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650 JAPAN

Accepted
June 13, 1990

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