Two-staged surgical management for complicated Boerhaave syndrome with esophagectomy and deferred gastroplasty: A case report

• Published in: International journal of surgery case reports 2023, Vol.103, p.107881-107881
• Main Authors: Ariza-Traslaviña, Julián, Caballero-Otálora, Nicolás, Polanía-Sandoval, Camilo Andrés, Perez-Rivera, Carlos J, Tellez, Luis J, Mosquera, Manuel
• Format: Report
• Language: English
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2023.107881

INTRODUCTION AND IMPORTANCEBoerhaave syndrome is a rare, challenging entity with high morbimortality rates. Therefore, early diagnosis and prompt treatment are needed. However, a standardized technique has not been developed, especially in large esophageal ruptures. PRESENTATION OF CASEA female patient of 69 years with an acute thoracic syndrome consistent with severe retrosternal pain of sudden onset, radiating to the left hemithorax, vomiting, and dyspnea that began after food intake associated with subcutaneous emphysema, hypotension, and tachycardia. An A-CT was performed, revealing an esophageal perforation, and Boerhaave syndrome was diagnosed. The patient was taken to esophagectomy and gastroplasty. 2,5 years after the procedure, the patient was without long-term complications, and only dysphagia was present. CLINICAL DISCUSSIONThe differential diagnoses of acute thoracic syndromes are needed to be ruled out; however, it usually delays the diagnosis of Boerhaave syndrome. Therefore, early diagnosis (