• Journal of Chest Surgery
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• 제50권6호
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• pp.453-455
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• 2017

We report the case of a 67-year-old woman presenting with epigastric pain. Computed tomography identified diffuse phlegmonous esophagitis. Esophagogastroduodenoscopy revealed multiple perforations in the mucosal layer of the esophagus. A large amount of pus was drained internally through the gut. The patient was treated with antibiotics and early jejunostomy feeding. Although phlegmonous esophagitis is a potentially fatal disease, the patient was successfully treated medically with only a minor complication (esophageal stricture).

• Journal of Chest Surgery
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• 제52권3호
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• pp.165-169
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• 2019

Phlegmonous esophagitis must be treated aggressively; therefore, appropriate antibiotic therapy and drainage are critical. Although a conventional surgical approach has been used previously, internal drainage could be another treatment option in light of advances in endoscopic techniques. We report 2 cases in which patients suffering from phlegmonous esophagitis were successfully treated with endoscopic intraluminal drainage and antibiotics.

• Journal of Yeungnam Medical Science
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• 제40권4호
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• pp.442-447
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• 2023

Acute phlegmonous esophagitis (APE) is a rare and fatal disease. Phlegmonous infection involves the submucosal layer and muscularis propria but not the mucosal layer. Because surgery is not the first treatment option for this disease, an accurate diagnosis is crucial. Herein, we report three cases of APE with various clinical features. All patients were successfully treated with antibiotics and appropriate medical procedures.

• Journal of Chest Surgery
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• 제40권10호
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• pp.711-714
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• 2007

결합조직염식도염은 식도의 점막하층과 근육층의 세균감염에 의해 발생하며 드문 질환이며 높은 사망률을 보인다. 69세 남자가 7일간의 흉통과 발열을 주소로 내원하였다. 흉부전산화단층촬영에서 종격동의 확장, 식도 주행을 따라 있는 식도벽의 비후와 공기 음영, 우측 흉수가 관찰되었다. 환자는 우측 개흉술을 통해 배농, 죽은조직제거술, 천공된 식도 근육층의 1차 봉합술을 시행 받았다. 추가 수술은 없었으며 퇴원시 식도 누출과 연하장애 없이 경구 식이는 원활하였다.