Spontaneous closure of esophageal tear in Boerhaave's syndrome

Abstract

An unusual case of spontaneous rupture of the esophagus is reported in which the patient survived without surgical closure or drainage procedure. The site of perforation and subsequent closure are documented radiologically.

Intramural hematomas of the esophagus

“…However, no pleural effusion was noted. An esophagram revealed no leakage of barium, but extravasation of contrast material is seen in less than 75% of patients with Boerhaave's syndrome [4]. The association of a dissecting intramural hematoma with a rupture of the esophagus is rare and to our knowledge has not been previously reported.…”

“…If the diagnosis is made early, thoracotomy with repair of the esophageal tear is the treatment of choice. Thoracotomy with drainage of the pleural space is recommended when surgery is performed late in the disease [4]. Maglinte and Edwards [4] reviewed the literature and found only 2 cases of spontaneous recovery in Boerhaave's syndrome with nonoperative management and added a third case.…”

“…Thoracotomy with drainage of the pleural space is recommended when surgery is performed late in the disease [4]. Maglinte and Edwards [4] reviewed the literature and found only 2 cases of spontaneous recovery in Boerhaave's syndrome with nonoperative management and added a third case. Our second patient had an intramural hematoma associated with Boerhaave's syndrome but recovered spontaneously without surgical intervention.…”

Pneumomediastinum following a prolonged second stage of labor – an emphasis on early diagnosis and conservative management: a case report

“…The use of an endoscopy to confirm the diagnosis is not routinely recommended. It has been previously reported as not adequately sensitive and in the context of esophageal disease could be potentially harmful [ 10 , 11 ].…”

Oesophageal Rupture in a Patient with Postoperative Nausea and Vomiting

“…The raised amylase was thought to be due to pancreatitis. Oesophagoscopy is not sensitive in the detection of an oesophageal rupture and may be potentially harmful in the presence of a diseased oesophagus 16 .…”