Rupture of the abdominal oesophagus: A review

Walsh, P. V.

doi:10.1002/bjs.1800660902

Cited by 8 publications

(3 citation statements)

References 28 publications

(24 reference statements)

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“…Interestingly, in the reported recurrent thoracic Boerhaave syndrome cases, five of the eight cases involved right-sided esophageal ruptures, but none involved an intraabdominal rupture. Intraabdominal esophageal ruptures have only been described in the literature six times; none of these cases involved an additional esophageal rupture [ 10 ]. A case of recurrent Boerhaave syndrome in which one of the ruptures occurred in the intraabdominal esophagus and one in the thoracic esophagus has not been previously reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Recurrent Boerhaave syndrome is extremely rare and has only been described in a handful of cases in the literature [ 3 - 9 ]. Intraabdominal rupture of the esophagus secondary to Boerhaave syndrome is even rarer, and has only been described in patients as an isolated occurrence in their lifetime [ 10 ]. This case describes both an intraabdominal esophageal rupture and a thoracic esophageal rupture two years later, which to our knowledge has not been previously reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Above and Below the Diaphragm: A Previously Undescribed Case of Recurrent Boerhaave Syndrome Diagnosed With Computerized Tomography Esophagram

Anand¹,

Puckett²,

Ronaghan³

2022

Cureus

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Boerhaave syndrome, defined as a spontaneous rupture of the esophagus, is an uncommon clinical entity. Recurrent spontaneous rupture of the esophagus is even rarer and has only been described in a handful of case reports. The rupture most often occurs in the thoracic esophagus. Spontaneous rupture of the intraabdominal esophagus is extremely rare. The extravasation of gastric contents, including bile, acid, and bacteria, into a body cavity precipitates severe sepsis. This results in a high mortality rate without emergent treatment. Such treatment often necessitates surgical repair with primary closure, tissue grafts, or esophagectomy in particularly severe cases. This is a case of a 64-year-old male who suffered Boerhaave syndrome twice separated by two years. The patient was transferred from an outside facility initially presenting with chest and abdominal pain, which developed after eating. CT esophagram with water soluble contrast demonstrated contrast extravasation into the right mediastinum/hemithorax, consistent with a diagnosis of Boerhaave syndrome. Repair was accomplished with an intercostal muscle pedicle patch, and the patient was subsequently discharged. This case report details, to our knowledge, the first case of a left intraabdominal and right thoracic esophageal rupture combination.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Above and Below the Diaphragm: A Previously Undescribed Case of Recurrent Boerhaave Syndrome Diagnosed With Computerized Tomography Esophagram

Anand¹,

Puckett²,

Ronaghan³

2022

Cureus

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“…Abdominal approach. Through a midline abdominal incision the 360° fundoplication is created with the aid of an orally passed [54][55][56][57][58][59][60] French esophageal dilator (bougie) for proper sizing of the fundoplication.…”

Section: Nissen Fundoplicationmentioning

confidence: 99%

Anesthesia for Esophageal Surgery

Dupont

2000

Semin Cardiothorac Vasc Anesth

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Esophageal surgery comprises a variety of procedures of differing complexity to treat functional and structural disorders of the esophagus. Local disease extension, surgical repair technique, and physical status of the patient primarily dictate anesthetic management of patients with esophageal pathology. Because the esophagus is in close proximity to vital organs and structures, a specific knowledge of the anatomy is essential to realize how esophageal pathology can compromise elemental physiological functions. A com prehensive anesthetic plan requires a detailed under standing of the surgical procedure in terms of approach, the extent of the operation, and associated complica tions. Consideration of comorbid conditions is equally important, as esophageal surgery is frequently per formed in debilitated and polytraumatized patients. The following article will review clinical manifestation, surgi cal therapy, and perioperative anesthetic management of the most commonly encountered esophageal disor ders. Specifically, anesthetic considerations in gastro esophageal reflux disease, esophageal carcinoma, esophageal perforation, and a variety of other esopha geal disorders will be discussed.

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Ösophagus

Bettendorf¹

1984

Pathologie: Ein Lehr- Und Nachschlagebuch

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Rupture of the abdominal oesophagus: A review

Cited by 8 publications

References 28 publications

Above and Below the Diaphragm: A Previously Undescribed Case of Recurrent Boerhaave Syndrome Diagnosed With Computerized Tomography Esophagram

Above and Below the Diaphragm: A Previously Undescribed Case of Recurrent Boerhaave Syndrome Diagnosed With Computerized Tomography Esophagram

Anesthesia for Esophageal Surgery

Ösophagus

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