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Case Reports
. 2018 May 19;13(5):1084-1086.
doi: 10.1016/j.radcr.2018.04.026. eCollection 2018 Oct.

Boerhaave syndrome in an elderly man successfully treated with 3-month indwelling esophageal stent

Kopelman Y  1 , Abu Baker F  1 , Troiza A  2 , Hebron D  3
Affiliations
Case Reports

Boerhaave syndrome in an elderly man successfully treated with 3-month indwelling esophageal stent

Kopelman Y et al. Radiol Case Rep. .

Abstract

Boerhaave syndrome refers to a spontaneous perforation of the esophagus that results from severe straining or vomiting. This uncommon situation may lead to serious outcome with chemical mediastinitis, and is associated with high morbidity and mortality. Surgery, although associated with high morbidity and mortality remains the treatment of choice, whereas endoscopic management with stent placement is preserved to treat inoperable patients. Removal of the stent is generally recommended after 4-6 weeks. We report a case of an elderly patient who presented with a large complicated Boerhaave's mid-esophageal perforation, with a complete recovery after a 3-month treatment with a long esophageal stent.

Keywords: Boerhaave syndrome; Esophageal rupture; Esophageal stent.

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Figures

Fig 1
Fig. 1
Computed tomography shows esophageal rupture with contrast media extravasation, and mediastinal and bilateral pleural effusions.
Fig 2
Fig. 2
Endoscopic 18 cm. Niti-s stent was inserted under fluorography guidance.
Fig 3
Fig. 3
Computed tomography shows the stent position and the coverage of the esophageal hole.
Fig 4
Fig. 4
A follow-up computed tomography after 3 months of recovery, shows a complete resolution of bilateral pleural effusions. The stent was withdrawn from the esophagus.
See this image and copyright information in PMC

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