Abstract:
RATIONALE:Late-onset anastomotic leak (AL) is an uncommon but potentially lethal complication after esophagectomy. PATIENT CONCERNS:A 74-year-old male patient was readmitted due to chest distress and chills about 3 months after initial esophagectomy for cancer. DIAGNOSES:The previous endoscopic biopsy revealed primary esophageal squamous cell carcinoma, and sweet esophagectomy with gastric conduit reconstruction was therefore performed. The patient developed AL 3 months after the surgery. INTERVENTIONS:Naso-leakage extraluminal drainage tube was utilized because the symptoms of the patient were aggravated 1 month after the chest tube drainage since his second admission for AL. OUTCOMES:Twenty-one days after naso-leakage extraluminal drainage, the computed tomography images showed the healing of the leakage. Then the patient was discharged from the hospital. LESSONS:Late-onset AL should be kept in mind when the patient complained of chest distress and fever during the follow up after esophagectomy. In addition, naso-leakage extraluminal drainage could be considered for the treatment of AL. Further trials for better evidence are warranted.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Kong FW,Wang WM,Liu L,Wu WB,Gong LB,Zhang Mdoi
10.1097/MD.0000000000022479subject
Has Abstractpub_date
2020-10-02 00:00:00pages
e22479issue
40eissn
0025-7974issn
1536-5964pii
00005792-202010020-00062journal_volume
99pub_type
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