[Report of a Case of Treatment for Unresectable Esophageal Cancer with Esophageal Perforation and Lung Abscess].

A 60-year-old male complaining of fever and dyspnea came to the hospital. The CT scan suggested esophageal perforation, pyothorax, and pneumothorax due to advanced esophageal cancer. When he was transferred to our hospital, he caused a state of shock, and laboratory tests showed both severe renal dysfunction and inflammation. Additional CT scan showed numerous enlarged lymph nodes and mesenteric nodules. We decided to perform palliative surgery including right lower lobectomy, esophagectomy(R2 resection), esophagostomy, gastrostomy, and tube enterostomy. Because postoperative air leakage persisted due to a bronchial segmental leak at the transection site, a fenestration operation was performed on day 41. He gradually recovered after the operation, and systemic chemotherapy started on day 54. Finally, he died of the primary disease approximately 10 months after the operation. He was saved by palliative surgery as conservative treatment was deemed ineffective. After postoperative systemic chemotherapy, he could spend valuable time at home with his family.