boerhaave′s syndrome: thoracolaparoscopic approach

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ID: 227026
2010
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Abstract
We present a case of Boerhaave′s syndrome managed thoracolaparoscopically. A 45-year- old man presented with hydropneumothorax following severe retching. He was treated with Intercostal drainage insertion as the primary management and referred to a tertiary care centre. There endoscopic stapling was attempted, following which he developed a leak. He presented to us with severe sepsis and mediastinal collection on the ninth day following the perforation. We treated him with thoracoscopic mediastinal toilet, laparoscopic-assisted feeding jejunostomy and cervical oesophagostomy. The patient was managed conservatively. A computed tomography (CT) scan was repeated at intervals of 15 days. He was continued on full jejunostomy feeds. Regular assessment of the oesophagus injury was conducted via the CT scan. The patient had complete healing of the perforation at end of two months. His oesophagostomy was closed and he remained symptom-free at follow-up. We conclude that thoracoscopy has an important role to play in the management of patients with mediastinal sepsis and late presentation of Boerhaave′s perforation.
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Authors ;Vaidya Shulmit;Prabhudessai Suraj;Jhawar Nitish;Patankar Roy
Journal it architect
Year 2010
DOI
DOI not found
URL
http://www.journalofmas.com/article.asp?issn=0972-9941;year=2010;volume=6;issue=3;spage=76;epage=79;aulast=Vaidya
Keywords
laparoscopy thoracoscopy Gastroenterology oesophagostomysurgerydiseases of the digestive system

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