Open AccessA Successful Strategy for Surgical Treatment of Boerhaave’s Syndrome Sans Thoracotomy
Author(s) -
Devbrata Adhikari,
Ashutosh Tiwari,
Siddharth Vankipuram,
Aniruddha Prabhakar Chaphekar,
Ritesh Satardey
Publication year - 2015
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2015/13517.6263
Subject(s) - medicine , surgery , jejunostomy , thoracotomy , gastrostomy , conservative treatment , stoma (medicine) , tracheotomy , general surgery , parenteral nutrition
Boerhaave's syndrome is a rare life threatening condition that is often misdiagnosed and fatal if not treated promptly. While the gold standard is early surgical intervention, recent studies have showed success with conservative management. We report a case of Boerhaave's syndrome that was managed conservatively by decompressive gastrostomy, feeding jejunostomy, bilateral intercostal drainage tubes with added proximal diverting cervical esophagostomy. The patient recovered completely and stoma closure was done two months later.