A triad of signs constitutes Boerhaave syndrome: forceful vomiting, chest pain and subcutaneous emphysema. The syndrome results from spontaneous rupture of the oesophageal wall leading to an oeso-pleural or oeso-mediastinal fistula. Positive diagnosis is established with a water-soluble swallow, sometimes coupled with computed tomography of the thorax. Boerhaave syndrome is a surgical emergency. We report three cases of spontaneous rupture of the oesophagus and analyze the importance of emergency surgery as well as emergency treatment of the sepsis, an important prognosis factor.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
VACStent closure of oesophageal defects by covered stent and endoscopic vacuum therapy: initial use and clinical outcomes.
J Surg Case Rep
January 2025
Department of Surgery, Mercy University Hospital, Grenville Place, Cork, T12 WE28, Ireland.
Endoscopic management of transmural oesophageal defects following esophagectomy or spontaneous perforations, such as Boerhaave's syndrome, is often complicated by stent migration and luminal occlusion [1]. The Vacuum-Assisted Closure (VAC) stent, which integrates a covered stent with endoscopic vacuum therapy, aims to address these issues by providing functional drainage and promoting wound healing [2]. This case series presents our initial experience with VACStent therapy in four patients treated between February 2023 and April 2024.
View Article and Find Full Text PDFNonoperative Management of Boerhaave Syndrome: A Case Study.
Cureus
October 2024
4th Department of Surgery, "Attikon" University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Spontaneous esophageal rupture, also known as Boerhaave syndrome, represents an unusual yet clinically significant condition characterized by the rupture of the esophageal wall due to a sudden increase in intraluminal pressure, typically induced by vomiting, concomitant with negative intrathoracic pressure dynamics. This condition poses a challenging clinical entity, presenting high mortality rates, especially when treatment is delayed. Surgical intervention is frequently employed as the primary management strategy, while non-surgical approaches, including stent placement and endoluminal vacuum therapy, are less commonly utilized.
View Article and Find Full Text PDFEndoluminal Vacuum Therapy for the Management of Boerhaave Syndrome: A Case Series.
Case Rep Gastroenterol
August 2024
Department of Surgery and Cancer, Imperial College London, London, UK.
Introduction: Boerhaave syndrome is a rare condition associated with high morbidity and mortality. Prompt intervention greatly improves outcomes, with surgery traditionally being the mainstay of management. Recent advances in therapeutic endoscopy have led to increasing interest in endoluminal vacuum therapy (EVT), a minimally invasive technique, allowing wound debridement and drainage, encouraging granulation tissue formation.
View Article and Find Full Text PDFWe present an uncommon pathology of Boerhaave's syndrome and its fatal outcome in a 77-year-old man who presented to the emergency room with loss of consciousness and a history of chronic cough that had increased in intensity over the past week. Radiological investigations revealed bilateral pleural effusion, initially pointing to a transudative aetiology. Diagnostic pleural aspiration showed an exudative effusion with high amylase, and an intercostal drainage tube was inserted for the left massive effusion.
View Article and Find Full Text PDFHamman Syndrome Caused by a Sodium Glucose Cotransporter 2 Inhibitor in an Elderly Patient with Diabetes which Mimicked of Boerhaave Syndrome.
Intern Med
October 2024
Department of Surgery, Kesen-numa City Hospital, Japan.
Article Synopsis
- A 70-year-old man with diabetes was treated with an SGLT2 inhibitor but developed vomiting and abdominal pain, leading to a diagnosis of diabetic ketoacidosis (DKA).
- A CT scan revealed mediastinal emphysema, and treatment for DKA was initiated alongside concerns of potential Boerhaave syndrome.
- After resolving DKA, the mediastinal emphysema also disappeared, highlighting the rare occurrence of Hamman syndrome in elderly diabetic patients on SGLT2 inhibitors and the risks of misdiagnosis.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!