Boerhaave’s syndrome: case report and review
Author(s) -
S. A. Andreychenko,
Mikhail V. Bychinin,
T. V. Klypa,
Yu. V. Ivanov,
Д. В. Сазонов,
R. M. Dyminov,
O. R. Shablovskiy
Publication year - 2018
Publication title -
journal of clinical practice
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.
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