Boerhaave's syndrome: successful conservative treatment in two patients.

Abstract

The Boerhaave syndrome is a spontaneous, post-emetic rupture of the esophagus and a rare but potentially fatal cause of upper gastrointestinal bleeding. There are currently no guidelines on the optimal treatment of these patients, although there is a strong tendency towards a surgical approach. We present 2 cases of male patients, 66- and 77-year old respectively, both admitted to the emergency department with hematemesis. Unexpectedly, these turned out to be caused by the Boerhaave syndrome. Based on the severity of presentation, either a conservative or endoscopic treatment was adopted, both with good outcome.

• Authors: M Truyens, E Hufkens, B Van Geluwe, P Vergauwe, W Van Moerkercke
• Journal: Acta gastro-enterologica Belgica (Acta Gastroenterol Belg) 2020 Oct-Dec Vol. 83 Issue 4 Pg. 654-656 ISSN: 1784-3227 [Print] Belgium
• PMID: 33321024 (Publication Type: Case Reports, Journal Article)
• Copyright: © Acta Gastro-Enterologica Belgica.

Topics

• Aged
• Conservative Treatment
• Esophageal Perforation (diagnostic imaging, etiology)
• Humans
• Male
• Mediastinal Diseases (diagnosis, therapy)