A Case of the Esophageal Stenosis by Blunt Trauma of the Chest -Treated with the Balloon Dilation-

Koji Yamaguchi, Shunichi Okushiba, Kousaku Satou, Kiyotaka Ito, Koichi Ohno, Toshiaki Morikawa, Satoshi Kondo and Hiroyuki Kato

Second Department of Surgery, Hokkaido University School of Medicine

A 57-year old woman experiened chest pain and the feeling of something stuck in her throat when swallowing after she had fallen from a tree.
Endoscopic examination revealed stenosis of the lower esophagus with a circular ulcer of the entire circumference of the mucous membrane and deep, lacerated wounds to the walls bilaterally. Chest CT scan and EUS showed that wall the was thickened and all its structures were damaged. Destraction would have required reconstruction. There were two causes of these injures. The circular ulcer of the mucous membrane and the damage to the wall structure were due to the indirect external force. The deep, lacerated wounds of the bilateral walls were caused by the high pressure created inside the esophagus on impact from the fall. We performed a successful endoscopic operation to dilate the stenosis by balloon and there has been no recurrence of the esophageal stenosis during the 12 months since the operation.

Key words
esophageal trauma, esophageal stenosis, esophageal dilatation

Reprint requests
Koji Yamaguchi Second Department of Surgery, Hokkaido University School of Medicine N-14 W-5, Sapporo, 060-8638 JAPAN

Accepted
February 23, 2000

To read the PDF file you will need Abobe Reader installed on your computer.