Conservative treatment of Boerhaave’s syndrome in an octogenarian complicated with late distal esophageal stenosis and successfully treated by stent placement

An 83-year-old female patient presented to the Emergency Department with shortness of breath, difficulty swallowing and leftsided chest pain following a vomiting attempt. A rupture in the left lower third of the esophagus, with hydropneumothorax, pneumomediastinum, and subcutaneous emphysema was rev...

Full description

Bibliographic Details
Main Authors: Orestis Ioannidis, Anastasia Malliora, Panagiotis Christidis, Efstathios Kotidis, Manousos G. Pramateftakis, Ioannis Mantzoros, Nikolaos Ouzounidis, Vasilis Foutsitzis, Stamatis Angelopoulos, Konstantinos Tsalis
Format: Article
Language:English
Published: Permanyer 2021-01-01
Series:Cirugía y Cirujanos
Subjects:
Online Access:https://www.cirugiaycirujanos.com/frame_esp.php?id=552
_version_ 1811191375897559040
author Orestis Ioannidis
Anastasia Malliora
Panagiotis Christidis
Efstathios Kotidis
Manousos G. Pramateftakis
Ioannis Mantzoros
Nikolaos Ouzounidis
Vasilis Foutsitzis
Stamatis Angelopoulos
Konstantinos Tsalis
author_facet Orestis Ioannidis
Anastasia Malliora
Panagiotis Christidis
Efstathios Kotidis
Manousos G. Pramateftakis
Ioannis Mantzoros
Nikolaos Ouzounidis
Vasilis Foutsitzis
Stamatis Angelopoulos
Konstantinos Tsalis
author_sort Orestis Ioannidis
collection DOAJ
description An 83-year-old female patient presented to the Emergency Department with shortness of breath, difficulty swallowing and leftsided chest pain following a vomiting attempt. A rupture in the left lower third of the esophagus, with hydropneumothorax, pneumomediastinum, and subcutaneous emphysema was revealed by chest X-ray, thoracic computed tomography scan, and contrast esophagography. The patient was successfully treated conservatively with closed thoracostomy, intravenous fluids, parenteral nutrition, and broad-spectrum antibiotics coverage. Following the successful conservative treatment, the patient developed a distal esophageal stenosis which was treated with an intra-esophageal self-expanding stent.
first_indexed 2024-04-11T15:05:29Z
format Article
id doaj.art-d07d8d2cb7e4480597ba92dedf8cbf1e
institution Directory Open Access Journal
issn 2444-054X
language English
last_indexed 2024-04-11T15:05:29Z
publishDate 2021-01-01
publisher Permanyer
record_format Article
series Cirugía y Cirujanos
spelling doaj.art-d07d8d2cb7e4480597ba92dedf8cbf1e2022-12-22T04:16:50ZengPermanyerCirugía y Cirujanos2444-054X2021-01-01899110.24875/CIRU.20000882Conservative treatment of Boerhaave’s syndrome in an octogenarian complicated with late distal esophageal stenosis and successfully treated by stent placementOrestis Ioannidis 0Anastasia Malliora1Panagiotis Christidis2Efstathios Kotidis3Manousos G. Pramateftakis4Ioannis Mantzoros5Nikolaos Ouzounidis6Vasilis Foutsitzis7Stamatis Angelopoulos8Konstantinos Tsalis9Department of Surgery, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceDepartment of Surgery, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceDepartment of Surgery, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceDepartment of Surgery, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceDepartment of Surgery, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceDepartment of Surgery, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceDepartment of Surgery, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceDepartment of Surgery, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceDepartment of Surgery, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceDepartment of Surgery, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceAn 83-year-old female patient presented to the Emergency Department with shortness of breath, difficulty swallowing and leftsided chest pain following a vomiting attempt. A rupture in the left lower third of the esophagus, with hydropneumothorax, pneumomediastinum, and subcutaneous emphysema was revealed by chest X-ray, thoracic computed tomography scan, and contrast esophagography. The patient was successfully treated conservatively with closed thoracostomy, intravenous fluids, parenteral nutrition, and broad-spectrum antibiotics coverage. Following the successful conservative treatment, the patient developed a distal esophageal stenosis which was treated with an intra-esophageal self-expanding stent.https://www.cirugiaycirujanos.com/frame_esp.php?id=552Esophagus. Spontaneous rupture. Esophageal rupture. Esophageal tear. Esophageal perforation. Boerhaave’s syndrome.
spellingShingle Orestis Ioannidis
Anastasia Malliora
Panagiotis Christidis
Efstathios Kotidis
Manousos G. Pramateftakis
Ioannis Mantzoros
Nikolaos Ouzounidis
Vasilis Foutsitzis
Stamatis Angelopoulos
Konstantinos Tsalis
Conservative treatment of Boerhaave’s syndrome in an octogenarian complicated with late distal esophageal stenosis and successfully treated by stent placement
Cirugía y Cirujanos
Esophagus. Spontaneous rupture. Esophageal rupture. Esophageal tear. Esophageal perforation. Boerhaave’s syndrome.
title Conservative treatment of Boerhaave’s syndrome in an octogenarian complicated with late distal esophageal stenosis and successfully treated by stent placement
title_full Conservative treatment of Boerhaave’s syndrome in an octogenarian complicated with late distal esophageal stenosis and successfully treated by stent placement
title_fullStr Conservative treatment of Boerhaave’s syndrome in an octogenarian complicated with late distal esophageal stenosis and successfully treated by stent placement
title_full_unstemmed Conservative treatment of Boerhaave’s syndrome in an octogenarian complicated with late distal esophageal stenosis and successfully treated by stent placement
title_short Conservative treatment of Boerhaave’s syndrome in an octogenarian complicated with late distal esophageal stenosis and successfully treated by stent placement
title_sort conservative treatment of boerhaave s syndrome in an octogenarian complicated with late distal esophageal stenosis and successfully treated by stent placement
topic Esophagus. Spontaneous rupture. Esophageal rupture. Esophageal tear. Esophageal perforation. Boerhaave’s syndrome.
url https://www.cirugiaycirujanos.com/frame_esp.php?id=552
work_keys_str_mv AT orestisioannidis conservativetreatmentofboerhaavessyndromeinanoctogenariancomplicatedwithlatedistalesophagealstenosisandsuccessfullytreatedbystentplacement
AT anastasiamalliora conservativetreatmentofboerhaavessyndromeinanoctogenariancomplicatedwithlatedistalesophagealstenosisandsuccessfullytreatedbystentplacement
AT panagiotischristidis conservativetreatmentofboerhaavessyndromeinanoctogenariancomplicatedwithlatedistalesophagealstenosisandsuccessfullytreatedbystentplacement
AT efstathioskotidis conservativetreatmentofboerhaavessyndromeinanoctogenariancomplicatedwithlatedistalesophagealstenosisandsuccessfullytreatedbystentplacement
AT manousosgpramateftakis conservativetreatmentofboerhaavessyndromeinanoctogenariancomplicatedwithlatedistalesophagealstenosisandsuccessfullytreatedbystentplacement
AT ioannismantzoros conservativetreatmentofboerhaavessyndromeinanoctogenariancomplicatedwithlatedistalesophagealstenosisandsuccessfullytreatedbystentplacement
AT nikolaosouzounidis conservativetreatmentofboerhaavessyndromeinanoctogenariancomplicatedwithlatedistalesophagealstenosisandsuccessfullytreatedbystentplacement
AT vasilisfoutsitzis conservativetreatmentofboerhaavessyndromeinanoctogenariancomplicatedwithlatedistalesophagealstenosisandsuccessfullytreatedbystentplacement
AT stamatisangelopoulos conservativetreatmentofboerhaavessyndromeinanoctogenariancomplicatedwithlatedistalesophagealstenosisandsuccessfullytreatedbystentplacement
AT konstantinostsalis conservativetreatmentofboerhaavessyndromeinanoctogenariancomplicatedwithlatedistalesophagealstenosisandsuccessfullytreatedbystentplacement