Conservative treatment of Boerhaave’s syndrome in an octogenarian complicated with late distal esophageal stenosis and successfully treated by stent placement
oleh: Orestis Ioannidis, Anastasia Malliora, Panagiotis Christidis, Efstathios Kotidis, Manousos G. Pramateftakis, Ioannis Mantzoros, Nikolaos Ouzounidis, Vasilis Foutsitzis, Stamatis Angelopoulos, Konstantinos Tsalis
| Format: | Article |
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| Diterbitkan: | Permanyer 2021-01-01 |
Deskripsi
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.