Case of successful treatment of long spontaneous rupture of the esophagus
https://doi.org/10.52581/1814-1471/78-79/08
Abstract
The report presents a brief historical outline of spontaneous rupture of the esophagus, modern data on the incidence of the disease, difficulties in diagnosis and treatment, as well as the high incidence of complications and mortality in this pathology. A case of successful staged treatment of a patient with spontaneous rupture of the esophagus complicated by purulent mediastinitis and pleural empyema, who was admitted 6 days after the onset of the disease, is described. The surgical tactics and features of the postoperative management of the patient are described in detail.
About the Authors
Ye. B. Topolnitskiy
Tomsk Regional Clinical Hospital; Tomsk Regional Oncology Center; Siberian State Medical University
Russian Federation
Russian Federation
Yevgeny B. Topolnitskiy - Dr. Med. sci., Professor, the Department of Surgery with a Course of Mobilization Training and Disaster Medicine, SSMU, Tomsk, Russia; head of the Thoracic Surgery Department, TRCH; oncologist, Tomsk Regional Oncology Center.
96, Ivan Chernykh st., Tomsk, 634063; 115, Lenin Ave. Tomsk, 634050; 2, Moscovskiy Trakt st., Tomsk, 634050
N. A. Shefer
Tomsk Regional Clinical Hospital; Tomsk Regional Oncology Center; Siberian State Medical University
Russian Federation
Russian Federation
Nikolay A. Shefer - Cand. Med. sci., assistant, the Department of Surgery with a Course of Mobilization Training and Disaster Medicine, SSMU; oncologist, Tomsk Regional Oncology Center, Tomsk, Russia; thoracic surgeon, Thoracic Surgery Department, TRCH.
96, Ivan Chernykh st., Tomsk, 634063; 115, Lenin Ave. Tomsk, 634050; 2, Moscovskiy Trakt st., Tomsk, 634050
G. Ts. Dambayev
Siberian State Medical University
Russian Federation
Russian Federation
Georgy Ts. Dambayev, Honored scientist of Russia, Dr. Med. sci., Professor, Corresponding Member of RAS, head of Hospital Surgery Department, SSMU.
2, Moscovskiy Trakt st., Tomsk, 634050
References
1. Rokicki M., Rokicki W., Moj M., et al. Boerhaave Syndrome – over 290 years of surgical experiences. Can the disorder recur? Pol Przegl Chir. 2018;91(3):27-29.
2. Brauer R.B., Liebermann-Meffert D., et al. Boerhaave's syndrome: analysis of the literature and report of 18 new cases. Dis Esophagus. 1997;10(1):64-68. DOI:10.1093/d.ote/10.1.64
3. Aiolfi A, Micheletto G., Guerrazzi G., et al. Minimally invasive surgical management of Boerhaave’s syndrome: a narrative literature review. J Thorac Dis 2020;12(8):4411-4417.
4. Tseymakh Ye.A., Buldakov P.N., Bombizo V.A., et al. A variant of treatment tactics for spontaneous rupture of the esophagus. Vestnik hirurgii im. I.I. Grekova – Journal of Surgery named after I.I. Grekov. 2018;177(6):69-72 (In Russ.).
5. Ibrahim-Zada I., Ernest P., Moore E.E. Intrathoracic transmural esophageal perforation (Boerhaave syndrome): Challenges in management of the delayed presentation. J Trauma Acute Care Surg. 2017;83(5):987-989.
6. Petousis S., Margioula-Siarkou C., Lorenzi B., et al. High mortality rate of oesophageal perforation is associated with delayed hospital admission: a prospective observational case series study. Acta Gastroenterol Belg. 2020;83(1):11-14.
7. Lieu M.T., Layoun M.E., Dai D., et al. Tension hydropneumothorax as the initial presentation of Boerhaave syndrome. Respir Med Case Rep. 2018;31;25:100-103.
8. Rinchinov V.P., Plehanov A.N., Cibikdorzhiev B.D., et al. The first experience of using yendoscopic vacuum aspiration therapy in the treatment of spontaneous rupture of the esophagus (Boerhaave syndrome). Bjulleten’ VSNC SO RAMN. 2017;2(1):136-140. (In Russ.)].
9. Truyens M., Hufkens E., Van Geluwe B., et al. Boerhaave's syndrome: successful conservative treatment in two patients. Acta Gastroenterol Belg. 2020;83(4):654-656.
10. Tellechea J.I., Gonzalez J.M., Miranda-García P., et al.. Role of Endoscopy in the Management of Boerhaave Syndrome. Clin Endosc. 2018;51(2):186-191.
Review
For citations:
Topolnitskiy Ye.B., Shefer N.A., Dambayev G.Ts. Case of successful treatment of long spontaneous rupture of the esophagus. Issues of Reconstructive and Plastic Surgery. 2021;24(3-4):82-86. (In Russ.) https://doi.org/10.52581/1814-1471/78-79/08
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