Korean J Thorac Cardiovasc Surg.  2016 Dec;49(6):478-480. 10.5090/kjtcs.2016.49.6.478.

Successful Management of Delayed Esophageal Rupture with T-Tube Drainage Using Video-Assisted Thoracoscopic Surgery

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Severance Hospital, Yonsei University College of Medicine, Korea. CSJGLEE@yuhs.ac
  • 2Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Korea.

Abstract

Spontaneous perforation of the esophagus after forceful vomiting is known as Boerhaave syndrome, a rare and life-threatening condition associated with a high rate of mortality. The management of Boerhaave syndrome is challenging, especially when diagnosed late. Herein, we report the successful management of late-diagnosed Boerhaave syndrome with T-tube drainage in a 55-year-old man. The patient was transferred to our institution 8 days after the onset of symptoms, successfully managed by placing a T-tube, and was discharged on postoperative day 46 without complications.

Keyword

Esophagus, perforation; T-tube; Boerhaave syndrome; Delayed diagnosis

MeSH Terms

Delayed Diagnosis
Drainage*
Esophagus
Humans
Middle Aged
Mortality
Rupture*
Thoracic Surgery, Video-Assisted*
Vomiting
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