Boerhaave’s syndrome: case report and review
S. A. Andreychenko , M. V. Bychinin , T. V. Klypa , Yu. V. Ivanov , D. V. Sazonov , R. M. Dyminov , O. R. Shablovskiy
Journal of Clinical Practice ›› 2018, Vol. 9 ›› Issue (1) : 63 -70.
Boerhaave’s syndrome: case report and review
Well-timed diagnostics of a spontaneous nontraumatic rupture of esophagus or Boerhaave’s syndrome, presents great difficulties because of his rarity and a variety of clinical implications. Esophagus ruptures may feign various organs pathology [2] that most often demands differential diagnostics with a stomach ulcer perforation, acute myocardial infarction, pulmonary artery embolism, aortic dissection and pancreatitis [16, 17]. The treatment can include conservative and surgical tools, but still accompanied by high mortality (up to 35%) [7]; results largely defined by the time between the moment of a rupture and start of the treatment. In addition to the review, described the experience of successful treatment of a patient with Boerhaave’s syndrome in the light of the generalized today data of world medical literature on this problem.
esophagus rupture / Boerhaave’s syndrome
| [1] |
Singh G.S., Slovis C.M.: ‘Occult’ Boerhaave’s syndrome. J Emerg Med 1988;6:13–16. |
| [2] |
Bjerke H.S.: Boerhaave’s syndrome and barogenic injuries of the oesophagus. Chest Surg Clin N Am 1994;4:819–825. |
| [3] |
Younes Z., Johnson D.A.: The spectrum of spontaneous and iatrogenic esophageal injury. J Clin Gastroenterol 1999;29:306–317. |
| [4] |
Callaghan J.: The Boerhaave syndrome. Br J Surg 1972;59:41–50. |
| [5] |
Мирошников Б.И., Лабазанов М.М., Ананьев Н.В., и др. Спонтанный разрыв пищевода (рус.) // Вестник хирургии имени И. И. Грекова. — СПб.: Эскулап, 1998. — Т. 157, № 2. — С. 74—75. |
| [6] |
Ионис Е.Ю., Плечев В.В., Авзалетдинов А.М., и др. Спонтанный разрыв пищевода. Синдром Бур- хавэ. Хирургическое лечение // Сборник тезисов V Международного конгресса «Актуальные направления современной кардио-торакальной хирургии». — СПб.: Ассоциация торакальных хирургов России, 2015. — С. 203—204. — 224 с. — 300 экз. |
| [7] |
De Schipper J.P., Pull ter Gunne A.F., Oostvogel H.J., van Laarhoven C.J. Spontaneous rupture of the oesophagus: Boerhaave's syndrome in 2008. Literature review and treatment algorithm. Dig Surg. 2009. 26(1):1-6. |
| [8] |
Кочуков В.П. Спонтанный разрыв пищевода (синдром Бурхаве) // Хирургия. Журнал им. Н.И. Пирогова. — М.: Медиа Сфера, 2012. — № 7. — С. 83—84. |
| [9] |
Юрасов С.Е. Спонтанный разрыв абдоминального отдела пищевода // Хирургия. Журнал им. Н.И. Пирогова. — М.: Медиа Сфера, 1999. — № 4. — С. 58. |
| [10] |
Kim B.S.M., Li B.T., Engel A., et al. Diagnosis of gastrointestinal bleeding: A practical guide for clinicians. World Journal of Gastrointestinal Pathophysiology. 2014;5(4):467-478. doi:10.4291/wjgp.v5.i4.467. |
| [11] |
Vidarsdottir H., Blondal S., Alfredsson H., et al. Oesophageal perforations in Iceland: a whole population study on incidence, aetiology and surgical outcome. Thorac Cardiovasc Surg. 2010;58:476–480. doi: 10.1055/s-0030-1250347. |
| [12] |
Vallbohmer D., Holscher A.H., Holscher M., et al. Options in the management of esophageal perforation: analysis over a 12-year period. Dis Esophagus. 2010;23:185–190. doi: 10.1111/j.1442- 2050.2009.01017.x. |
| [13] |
Gander J.W., Berdon W.E., Cowles R.A. Iatrogenic esophageal perforation in children. Pediatr Surg Int. 2009;25:395–401. doi: 10.1007/s00383-009-2362-6. |
| [14] |
Buecker A., Wein B.B., Neuerburg J.M., Guenther R.W. Esophageal perforation: Comparison of use of aqueous and barium-containing contrast media. Radiology. 1997;202:683–6. |
| [15] |
Yagnik V.D. Boerhaave’s syndrome: Spontaneous full thickness esophageal perforation. Lung India: Official Organ of Indian Chest Society. 2012;29(2):197. doi:10.4103/0970-2113.95350. |
| [16] |
Symbas P.N., Hatcher C.R., Harlaftis N.: Spontaneous rupture of the oesophagus. Ann Surg 1978;187:634–639. |
| [17] |
Curcij J.J., Horman M.J.: Boerhaave’s syndrome: the importance of early diagnosis and treatment. Ann Surg 1976;183:401–408. |
| [18] |
De Lutio Di Castelguidone E., Pinto A., Merola S., et al: Role of spiral and multislice computed tomography in the evaluation of traumatic and spontaneous oesophageal perforation. Our experience Radiol Med (Torino) 2005;109:252–259. |
| [19] |
Tamatey M.N., Sereboe L., Tettey M., et al. Boerhaave’s Syndrome: Diagnosis and Successful Primary Repair One Month After the Oesophageal Perforation. Ghana Medical Journal. 2013;47(1):53-55. |
| [20] |
Ghanem N., Altehoefer C., Springer O., et al. Radiological findings in Boerhaave's syndrome. Emerg Radiol. 2003;10:8–13. |
| [21] |
Søreide J.A., Viste A. Esophageal perforation: Diagnostic work-up and clinical decision-making in the first 24 hours. Scand J Trauma Resusc Emerg Med. 2011;19:66. |
| [22] |
Giménez A., Franquet T., Erasmus J.J., et al. Thoracic complications of esophageal disorders. Radiographics. 2002;22:S247–58. Spec No. |
| [23] |
Young C.A., Menias C.O., Bhalla S., Prasad S.R. CT features of esophageal emergencies. Radiographics. 2008;28:1541–53. |
| [24] |
Tonolini M., Bianco R. Spontaneous esophageal perforation (Boerhaave syndrome): Diagnosis with CT-esophagography. Journal of Emergencies, Trauma, and Shock. 2013;6(1):58-60. doi:10.4103/0974- 2700.106329. |
| [25] |
Vial C.M., Whyte R.I. Boerhaave's Syndrome: Diagnosis and Treatment, In Surgical Clinics of North America, Volume 85, Issue 3, 2005, Pages 515-524, ISSN 0039-6109. |
| [26] |
Spapen J., De Regt J., Nieboer K., et al. “Boerhaave's Syndrome: Still a Diagnostic and Therapeutic Challenge in the 21st Century,” Case Reports in Critical Care, vol. 2013, Article ID 161286, 4 pages, 2013. doi:10.1155/2013/161286 |
| [27] |
Wise M.P., Salmon J.B., Maynard N.D. Boerhaave syndrome: a diagnostic conundrum. BMJ Case Rep. 2009. doi:10.1136/bcr.07.2008.0375. |
| [28] |
Misiak P., Jabłoński S., Piskorz Ł., et al.: Oesophageal perforation – therapeutic and diagnostics challenge. Retrospective, single-center case report analysis (2009-2015). Pol Przegl Chir; 2017 Aug 31;89(4):1-4. |
| [29] |
Тимербулатов Ш.В., Тимербулатов В.М. Спонтанный разрыв пищевода (синдром Бурхаве)// Эндоскопическая хирургия: статья в журнале — научная статья. — М.: Медиа Сфера, 2009. — № 6. — С. 48—50. |
| [30] |
Misiak P., Gałązkowski R., Jabłoński S., et al.: Esophageal perforation due to blunt trauma-how to diagnose and how to treat. Emerg. Med. Serv. 2016; 1: 52–53. |
| [31] |
Delos Reyes A.P., Clancy C., Lach J., et al.: Conservative management of esophageal perforation after a fall. Int. J. Surg. Case Rep. 2013; 4: 550–553. |
| [32] |
Lindenmann J., Matzi V., Neuboeck N., et al.: Management of esophageal perforation in 120 consecutive patients: clinical impact of a structured treatment algorithm. J. Gastrointest. Surg. 2013; 17: 1036–1043. |
| [33] |
Kiss J.: Surgical treatment of oesophageal perforation. Br. J. Surg. 2008; 7: 805–806. |
| [34] |
Абрамзон О.М., Мухамадеев М.Б., Скоробо- гатых Ю.И., Хотян А.Р. Случай успешного закрытия пищеводно-плеврального свища при синдроме Бурхаве с помощью зонда Блэкмора (рус.) // Грудная и сердечно-сосудистая хирургия: статья в журнале — краткое сообщение. — М.: Медицина, 2010. — № 1.— С. 68. |
| [35] |
Rokicki, M., Rokicki W., Rydel M. (2017). Boerhaave’s Syndrome – Over 290 Yrs of Surgical Experiences. Surgical, Endoscopic and Conservative Treatment. Polish Journal of Surgery, 88(6), pp. 365- 372. |
| [36] |
Ali J.T., Rice R.D., David E.A., et al.: Perforated esophageal intervention focus (PERF) study: a multi- center examination of contemporary treatment, Diseases of the Esophagus, Volume 30, Issue 11, 1 November 2017, Pages 1–8. |
| [37] |
Wang Y., Zhang R., Zhou Y. et al.: Our experience on management of Boerhaave’s syndrome with late presentation. Dis Esophagus 2009; 22: 62 67. |
| [38] |
Khan A.Z., Strauss D., Mason R.C.: Boerhaave’s syndrome: diagnosis and surgical management. Surgeon 2007; 5: 39 44. |
| [39] |
Marinis A, Rizos S.: Boerhaave’s syndrome or spontaneous perforation of the oesophagus. Hellenic J Surg 2011: 83(5): 258 61. |
| [40] |
Kollmar O., Lindermann W., Richter S. et al.: Boerhaave’s syndrome: Primary repair vs resection case reports and meta-analysis of the literature. J Gastyroenterol Surg 2003; 7: 726 34. |
| [41] |
Tsalis K., Vasiliadis K., Tsachalis T. et al.: Management of Boerhaave’s syndrome: report of three causes. J Gastrointestin Liver Dis 2008; 17(1): 8185. |
| [42] |
Haddad R., Lime R.T., Boesquevisque C.H. et al.: Symptomatic mucocele after esophageal exclusion. Thoracic Surg 2008; 7: 74244. |
| [43] |
Griffin S.M., Lamb P.J., Shenfine J. et al.: Spontaneous rupture of the oesophagus. Br J Surg 2008; 95: 11151120. |
| [44] |
Salo J.A., Isolauri J.D., Heikkila L.J.: Management of delayed esophageal perforation with mediastinal sepsis. Esophagectomy or primary repair? J Thorac Cardiovasc Surg 1993; 6: 76467. |
| [45] |
Dasari B.V., Neely D., Kennedy A. et al.: The role of esophageal stents in the management of esophageal anastomotic leaks and benign esophageal perforations. Ann Surg 2014 May; 259(5): 85260. |
| [46] |
Parupadi F.J., Guduru R., Nageshwar D.: Successful closure of spontaneous esophageal perforation (Boerhaave’s syndrome) by endoscopic clipping. Indian J Gastroenterol 2006; 25: 3941. |
| [47] |
Tellechea J.I., Gonzalez J.M., Miranda-García P., et al.: Role of Endoscopy in the Management of Boerhaave Syndrome. Clin Endosc. 2017 Sep 20. doi: 10.5946/ce.2017.043. |
| [48] |
Хатьков И.Е., Шишин К.В., Недолужко И.Ю., и др.: Эндоскопическая вакуумная терапия в лечении несостоятельности анастомозов верхних отделов пищеварительного тракта. Первый опыт и обзор литературы //Раны и раневые инфекции. Журнал имени профессора Б.М. Костюченка., – 2016., – № 3., – С. 32-41. |
| [49] |
Loske G., Schorsch T., Müller C. Endoscopic intracavitary vacuum therapy of Boerhaave's syndrome: a case report. Endoscopy 2010; 42(S02): 144 – 145. |
| [50] |
Loske G., Schorsch T., van Ackeren V., et al. Endoscopic vacuum therapy in Boerhaave's syndrome with open-pore polyurethane foam and a new open-pore film drainage. Endoscopy 2015; 47(S01): 410 – 411. |
| [51] |
Laukoetter M.G., Mennigen R., Neumann P.A., et al. Successful closure of defects in the upper gastrointestinal tract by endoscopic vacuum therapy (EVT): a prospective cohort study. Surg Endosc. 2016; doi:10.1007/s00464-016-5265-3. |
| [52] |
Teh E., Edwards J., Duffy J., Beggs D. Boerhaave's syndrome: a review of management and outcome, Interactive CardioVascular and Thoracic Surgery, Volume 6, Issue 5, 1 October 2007, Pages 640–643. |
Andreychenko S.A., Bychinin M.V., Klypa T.V., Ivanov Y.V., Sazonov D.V., Dyminov R.M., Shablovskiy O.R.
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