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...
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2021-01-01
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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. |
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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 |
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