scholarly journals The surgical management of spontaneous esophageal perforation (Boerhaave's syndrome) ‒ 20 years of experience

2016 ◽  
Vol 10 (2) ◽  
pp. 120-124 ◽  
Author(s):  
Edgardo Pezzetta ◽  
Takashi Kokudo ◽  
Emilie Uldry ◽  
Takamune Yamaguchi ◽  
Hiroki Kudo ◽  
...  
Keyword(s):  
Surgical Management ◽  
Esophageal Perforation ◽  
Years Of Experience ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome

scholarly journals AB048. 24. Minimally invasive surgical management of spontaneous esophageal perforation (Boerhaave’s syndrome)

2019 ◽  
Vol 3 ◽  
pp. AB048-AB048
Author(s):  
Jessie Andrea Elliott ◽  
Louise Buckley ◽  
Mohammad Albagir ◽  
Antonis Athanasiou ◽  
Thomas Murphy
Keyword(s):  
Minimally Invasive ◽  
Surgical Management ◽  
Esophageal Perforation ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome ◽  
Minimally Invasive Surgical

Minimally invasive surgical management of spontaneous esophageal perforation (Boerhaave’s syndrome)

2019 ◽  
Vol 33 (10) ◽  
pp. 3494-3502 ◽  
Author(s):  
Jessie A. Elliott ◽  
Louise Buckley ◽  
Mohamed Albagir ◽  
Antonios Athanasiou ◽  
Thomas J. Murphy
Keyword(s):  
Minimally Invasive ◽  
Surgical Management ◽  
Esophageal Perforation ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome ◽  
Minimally Invasive Surgical

scholarly journals Cytomorphology of Boerhaave's syndrome: A critical value in cytology

CytoJournal ◽  
2013 ◽  
Vol 10 ◽  
pp. 8 ◽  
Author(s):  
Walid E. Khalbuss ◽  
Shveta Hooda ◽  
Manon Auger
Keyword(s):  
Pleural Fluid ◽  
Esophageal Perforation ◽  
Critical Condition ◽  
Correct Diagnosis ◽  
Boerhaave’S Syndrome ◽  
Cytological Examination ◽  
Early Management ◽  
Boerhaave's Syndrome ◽  
Thoracic Drainage ◽  
Fungal Organisms

Spontaneous esophageal perforation into the pleural cavity (Boerhaave's syndrome) is a rare life-threatening condition, which requires early diagnosis and urgent management. The diagnosis of such critical condition in many cases is delayed because of atypical clinical presentation, resulting in increased morbidity and mortality. Cytological examination of pleural fluid can provide early, fast and accurate diagnosis of such critical condition and help in better and early management of this disease. We describe a case of an 81-year-old female with esophageal perforation who presented with a left sided pleural effusion. The correct diagnosis was established in this case by observing gastrointestinal-like fluid characteristics of the thoracic drainage upon cytological and chemical analyses and the rupture was confirmed by esophagography. The cytological examination of pleural fluid revealed benign reactive squamous cells, fungal organisms, bacterial colonies, and vegetable material consistent with a ruptured esophagus. Cytological examination of pleural fluid is a rapid and accurate technique that can help in establishing the diagnosis of this challenging entity and guide initiation proper management of this unusual entity.

scholarly journals Diagnostic challenge and surgical management of Boerhaave’s syndrome: three diagnosed cases of spontaneous esophageal rupture

2020 ◽  
Author(s):  
Jiayue Wang ◽  
Degang Wang ◽  
Jianjiao Chen
Keyword(s):  
Pleural Effusion ◽  
Early Diagnosis ◽  
Physical Examination ◽  
Ct Scan ◽  
Medical History ◽  
Subcutaneous Emphysema ◽  
Esophageal Perforation ◽  
Esophageal Rupture ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome

Abstract BACKGROUND: Boerhaave’s syndrome is the spontaneous rupture of the esophagus, caused by an increase of intraluminal pressure that is produced in the context of negative intrathoracic pressure. It has a high index of morbimortality, which is why it requires early diagnosis and treatment. Symptoms may vary, and diagnosis can be challenging.CASE PRESENTATION: Case one: A 54-year-old man presented to us with sudden-onset epigastric pain radiating to the back following hematemes. His previous medical history included gastric ulcer. His physical signs suggested early shock. Combined with his medical history and physical signs, emergency doctor suspected a diagnosis of peptic ulcer with hematemesis, and esophagegastroscopy was performed. However, upper gastrointestinal endoscopy revealed a full-thickness rupture of the esophageal wall. The subsequent computed tomography (CT) showed frank pneumomediastinum and heterogeneous pleural effusion. He was subsequently referred to us in view of suspected Boerhaave’s syndrome and clinical worsening. In view of hemodynamic instability with uncontrolled sepsis, he was planned for surgery. Esophageal perforation repair operation and jejunostomy was performed for him. The postoperative period was uneventful, and he was discharged.Case two: A 62-year-old man was admitted to the emergency department with thoracic dull pain and chest distress that started after he had been vomiting several hours before presentation. On physical examination, he presented rough bronchovesicular breathing sound, and crepitant rales in lungs prompting subcutaneous emphysema. Chest CT scan showed pneumomediastinum and large left-sided pleural effusion. Esophagus fistula was confirmed by contrast esophagography. Therefore, spontaneous esophageal perforation was suspected. Then, we performed thoracotomy to repair the esophageal tear as well as to debride and irrigate the left pleural space. His vital signs remained stable intraoperatively, and his postoperative periods were uneventful with no leakage or stricture. Case three: The patient was a 69-year old male presenting with a severe retrosternal and upper abdominal pain followed an episode of forceful vomiting. At admission, he was diaphoretic and in respiratory distress. Physical examination revealed extensive cervical and thoracic subcutaneous emphysema but was otherwise unremarkable. A thoracic CT scan revealed a rupture in the left distal part of the oesophagus, a pneumomediastinum and left-sided pleural effusions. Conservative treatment, with cessation of oral intake, nasogastric suction, administration of intravenous fluids and parenteral nutrition, intravenous broad-spectrum anti-biotics, proton pump inhibitors and drainage of the pleural effusion by left-sided thoracostomy, failed to improve disease conditions. Open thoracic surgery was performed with debridement and drainage of the mediastinum and the pleural cavity, after which he made a slow but full recovery.CONCLUSIONS: We highlight that early diagnosis and appropriate surgical treatment are essential for optimum outcome in patients with esophageal rupture. We emphasize the importance of critical care support, particularly in the early stages of management.

Repair of Distal Esophageal Perforation (Boerhaave's Syndrome) by Left Thoracoscopy with the Patient in Prone Position

Videoscopy ◽  
2014 ◽  
Vol 24 (4) ◽  
Author(s):  
Giovanni Dapri ◽  
Sergio Carandina ◽  
Luisa Brambilla ◽  
Leonardo Gerard ◽  
Myriam Suball ◽  
...  
Keyword(s):  
Prone Position ◽  
Esophageal Perforation ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome

Primary repair of iatrogenic thoracic esophageal perforation and Boerhaave's syndrome

1993 ◽  
Vol 55 (3) ◽  
pp. 603-606 ◽  
Author(s):  
Sunil K. Ohri ◽  
Theodore A. Liakakos ◽  
Vivek Pathi ◽  
Edward R. Townsend ◽  
S.William Fountain
Keyword(s):  
Esophageal Perforation ◽  
Primary Repair ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome
Sign in / Sign up

Export Citation Format

Share Document