Conservative management of a three-day-old esophageal perforation with feeding jejunostomy and prokinetic drug.

Abstract

Spontaneous esophageal perforation is a well-recognized, life-threatening emergency. The spectrum of presentation is a major reason for errors in diagnosis and the failure to institute prompt and imminent management. A case of Boerhaave's syndrome, diagnosed and managed non-operatively in a tertiary center three days after tear, is described. The diagnosis was confirmed with a series of gastrograffin esophagograms which revealed a leak in the lower part of the esophagus, with hydropneumothorax.

• Authors: Dinesh Vyas
• Journal: Scandinavian journal of gastroenterology (Scand J Gastroenterol) Vol. 41 Issue 10 Pg. 1242-4 (Oct 2006) ISSN: 0036-5521 [Print] England
• PMID: 16990212 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Enteral Nutrition (methods)
• Esophageal Perforation (diagnosis, drug therapy, therapy)
• Humans
• Jejunostomy
• Male
• Middle Aged