Fístula esôfago-bronco-pleural pós pneumonectomia direita

Netto, Manoel Ximenes; Ramiro, Ulisses Eduardo; liveira, Humberto Alves de

doi:10.1590/s0100-69912006000300012

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2007

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“…These last procedures are usually performed in very serious situations with significant damage to the local tissue, in cases of late diagnosis or when primary repair is not possible. (2,10,11) Our first patient (Case 1) was submitted to a subtotal esophagectomy, which is a radical treatment, due to the extensive necrosis of the esophageal wall and the mediastinum, and this treatment might have contributed to his survival. In the other two patients, both of whom presented more favorable local conditions, primary repair was conducted.…”

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confidence: 99%

Ruptura pós-emética do esôfago: a síndrome de Boerhaave

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Netto²,

Medeiros

2007

J. bras. pneumol.

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Postemetic rupture of the esophagus, also known as spontaneous rupture or Boerhaave's syndrome, was first described by Herman Boerhaave in 1724. This is a severe disease that causes high mortality rates and is difficult to diagnose not only because it is rare but also because it is frequently confused with other severe clinical conditions, such as acute myocardial infarction, perforated peptic ulcer, and acute pancreatitis. Herein, we describe three cases of patients with this syndrome. Two underwent primary repair of the rupture, and one underwent esophagectomy followed by reconstruction. There was one death due to septic shock in the immediate postoperative period. The other two patients presented favorable long-term evolution.

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Section: Discussionmentioning

confidence: 99%