食管畸胎瘤并发食管破裂1例报告及文献复习

目的：探讨1例食管畸胎瘤并发食管破裂患者的临床表现、诊断方法及疗效，提高临床医生对该病的认识。方法：患者因进食后胸疼急诊入院，上消化道造影、胸部CT及胃镜均提示食管破裂，行急诊胸腔探查术。术中见食管破裂口长且坏死无法修补，改行食管切除、胃与食管颈部吻合术。结果：该患者手术过程顺利，术后病理提示食管畸胎瘤破裂出血。随访至今无术后并发症。结论：食管畸胎瘤并发食管破裂临床罕见，临床医师应提高对本病的认识，降低误诊率。

Esophageal teratoma complicated with rupture of esophagus:A case report and literature review

Objective:To explore the clinical appearance,diagnosis method and curative efficacy of one patient with esophageal teratoma complicated with rupture of esophagus in order to raise the awareness of the clinicians for the disease. Methods:The patient with chest pain after eating was admitted to hospital,and upper gastrointestinal radiography,chest CT and endoscopy were taken,which showed rupture of esophagus.Then an emergency thoracic exploration was performed.A too long cleft and much necrosis were identified,so the repair of esophagus was changed into excision and anastomosis. Results: The operation was successful,and the pathological findings showed the rupture of esophageal teratoma.Follow-up showed no complication till now.Conclusion:Esophageal teratoma complicated with esophageal rupture is rare.Clinicians should improve the understanding and reduce the misdiagnosis rate.