Open AccessBoerhaave’s syndrome: case report and review
Author(s) -
S. A. Andreychenko,
Андрейченко Сергей Александрович,
Mikhail V. Bychinin,
Бычинин Михаил Владимирович,
Т. В. Клыпа,
Клыпа Татьяна Валерьевна,
Yu. V. Ivanov,
Иванов Юрий Викторович,
Dmitry Sazonov,
Сазонов Дмитрий Валерьевич,
R. M. Dyminov,
Дыминов Роман Михайлович,
O. R. Shablovskiy,
Шабловский Олег Радомирович
Publication year - 2018
Publication title -
kliničeskaâ praktika
Language(s) - English
Resource type - Journals
eISSN - 2618-8627
pISSN - 2220-3095
DOI - 10.17816/clinpract09163-70
Subject(s) - medicine , perforation , conservative treatment , surgery , differential diagnosis , esophagus , dissection (medical) , myocardial infarction , general surgery , infarction , cardiology , pathology , materials science , punching , metallurgy
Well-timed diagnostics of a spontaneous nontraumatic rupture of esophagus or Boerhaave’s syndrome, presents great difficulties because of his rarity and a variety of clinical implications. Esophagus ruptures may feign various organs pathology [2] that most often demands differential diagnostics with a stomach ulcer perforation, acute myocardial infarction, pulmonary artery embolism, aortic dissection and pancreatitis [16, 17]. The treatment can include conservative and surgical tools, but still accompanied by high mortality (up to 35%) [7]; results largely defined by the time between the moment of a rupture and start of the treatment. In addition to the review, described the experience of successful treatment of a patient with Boerhaave’s syndrome in the light of the generalized today data of world medical literature on this problem.