A Case of a Successfully Treated Patient With a Delayed Diagnosis of Boerhaave’s Syndrome and Severe Complications

Boerhaave's syndrome is a rare critical condition manifesting as transmural esophageal rupture. It is usually associated with forceful emesis and increased intraesophageal pressure. Immediate aggressive surgical intervention is imperative in such cases. We present a patient with a late diagnosis of Boerhaave's syndrome who was successfully treated in our department. We performed a subtotal esophageal resection, esophagostomy, gastrostomy, pyloroplasty by Heineke-Mikulicz, debridement, bilateral early decortication of the lung, and cleaning of the pleural cavities and mediastinum.

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Publication Details

Journal
Cureus
Published
2024-11-19
DOI
https://doi.org/10.7759/cureus.74018
Primary Topic
Esophageal and GI Pathology
Type
article
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A Case of a Successfully Treated Patient With a Delayed Diagnosis of Boerhaave’s Syndrome and Severe Complications

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article

A Case of a Successfully Treated Patient With a Delayed Diagnosis of Boerhaave’s Syndrome and Severe Complications

Magdalena Alexieva, Mila Kovacheva-Slavova, Georgi S. Yankov, Zaharinka Makshutova, Borislav Vladimirov
article en

Abstract

Boerhaave's syndrome is a rare critical condition manifesting as transmural esophageal rupture. It is usually associated with forceful emesis and increased intraesophageal pressure. Immediate aggressive surgical intervention is imperative in such cases. We present a patient with a late diagnosis of Boerhaave's syndrome who was successfully treated in our department. We performed a subtotal esophageal resection, esophagostomy, gastrostomy, pyloroplasty by Heineke-Mikulicz, debridement, bilateral early decortication of the lung, and cleaning of the pleural cavities and mediastinum.

CureusVol. 16(11)
Queen Giovanna Hospital (BG), University Hospital St. Ivan Rilski (BG)
Good health and well-being
Openalex Percentile: Top 61%
Esophageal and GI Pathology
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