Early Diagnosis and Surgical Management of Boerhaave Syndrome: A Case Report.

Autor:	Totsi A; Surgical Department, Papageorgiou General Hospital, Thessaloniki, GRC., Fortounis K; Surgical Department, Papageorgiou General Hospital, Thessaloniki, GRC., Michailidou S; Surgical Department, Papageorgiou General Hospital, Thessaloniki, GRC., Balasas N; Surgical Department, Papageorgiou General Hospital, Thessaloniki, GRC., Papavasiliou C; Surgical Department, Papageorgiou General Hospital, Thessaloniki, GRC.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Oct 24; Vol. 15 (10), pp. e47596. Date of Electronic Publication: 2023 Oct 24 (Print Publication: 2023).
DOI:	10.7759/cureus.47596
Abstrakt:	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. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Totsi et al.)
Databáze:	MEDLINE
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