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Boerhaave's syndrome with late presentation. Experience in an Argentine single center: Case series
Daniel N Velasco Hernández1, Héctor R Horiuchi1, Lucas A Rivaletto1
1University Hospital General San Martín, La Plata, Buenos Aires, Argentina.
Background:
In the year 1724, Hermann Boerhaave reported a case of a Dutch admiral who died due to spontaneous rupture of the esophagus following vomiting. The aim of this retrospective study is to analyze the therapeutic modality, morbidity and mortaliy of a group of patients with spontaneous esophageal rupture treated in our hospital.
Methods:
Ten patients were treated from March 1990 to August 2016. Seven patients were males and three were females. The age range was, 52-72 years, with an average of 66.2 years. In four patients, the diagnosis and posterior treatment were performed within 24 h (Group I) and the remaining six patients after 24 h (Group II).
Results:
The mean hospital stay was 36.6 days (range 17-62 days). The mortality rate was 50%, which was due to septic shock and the morbidity of patients who survived was 40% due to pneumonia in one case and fistula in another.
Discussions:
This condition has a high mortality rate with a lethality that depends on the time between recognition of symptoms and proper surgical treatment.