Early Diagnosis and Surgical Management of Boerhaave Syndrome: A Case Report.
boerhaave syndrome
early diagnosis
esophageal perforation
mediastinitis
surgical management
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
accepted:
24
10
2023
medline:
29
11
2023
pubmed:
29
11
2023
entrez:
29
11
2023
Statut:
epublish
Résumé
Boerhaave syndrome is a rare condition of spontaneous esophageal perforation after multiple episodes of forceful emesis. Due to its high morbidity and mortality rates, early diagnosis and treatment are key prognostic factors. Herein, we present a case of Boerhaave syndrome, which was initially misinterpreted as a coronary event due to similar confusing symptoms. However, a diagnosis was made without delay and confirmed with a chest computed tomography (CT) scan, which revealed pneumomediastinum. The patient was treated surgically by primarily repairing the rupture with an omentum patch reinforcement, draining the mediastinum and both pleural cavities, and creating a feeding jejunostomy. After a long stay in the ICU and the Surgical Department, the patient was discharged in good clinical condition with normal oral feeding.
Identifiants
pubmed: 38022019
doi: 10.7759/cureus.47596
pmc: PMC10666923
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e47596Informations de copyright
Copyright © 2023, Totsi et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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