Abstract

IOANNIDIS, Orestis et al. Conservative treatment of Boerhaave’s syndrome in an octogenarian complicated with late distal esophageal stenosis and successfully treated by stent placement. Cir. cir. [online]. 2021, vol.89, suppl.1, pp.23-27.  Epub Feb 08, 2022. ISSN 2444-054X.  https://doi.org/10.24875/ciru.20000882.

An 83-year-old female patient presented to the Emergency Department with shortness of breath, difficulty swallowing and left-sided chest pain following a vomiting attempt. A rupture in the left lower third of the esophagus, with hydropneumothorax, pneumomediastinum, and subcutaneous emphysema was revealed by chest X-ray, thoracic computed tomography scan, and contrast esophagography. The patient was successfully treated conservatively with closed thoracostomy, intravenous fluids, parenteral nutrition, and broad-spectrum antibiotics coverage. Following the successful conservative treatment, the patient developed a distal esophageal stenosis which was treated with an intra-esophageal self-expanding stent.

Keywords : Esophagus; Spontaneous rupture; Esophageal rupture; Esophageal tear; Esophageal perforation; Boerhaave’s syndrome.

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