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Boerhaave syndrome with double esophageal perforation. About a case
Arturo Martínez-García1, Kymani Pérez-García1, Javier Pérez-Palenzuela1
1Servicio de Cirugía General, Hospital Clínico Quirúrgico Hermanos Ameijeiras, Universidad de Ciencias Médicas de La Habana, La Habana, Cuba.
Introduction:
Boerhaave syndrome consists of a spontaneous perforation of the esophagus, with high mortality.
Objective:
To describe a case with Boerhaave syndrome with double esophageal perforation.
Case Report:
33-year-old female who came to the hospital for emetic symptoms, followed by retrosternal chest pain; chest drainage is performed. Esophageal perforation was diagnosed late and he was transferred to a tertiary level institution. Successive treatments were performed: videothoracoscopy and pleural decortication; alimentary jejunostomy; esophageal stent placement, diagnosis of new perforation, pyloric exclusion, new stent placement, and esophageal exclusion.
Conclusions:
The delay in diagnosis contributed to the fatal outcome of the patient.
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