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Successful minimally invasive repair of spontaneous esophageal perforation.

Abstract
Esophageal perforations with a mediastinal abscess are medical emergencies with a significant mortality rate. Prompt management is mandatory, and a variety of treatment strategies have been advocated. In the case of a spontaneous rupture of the esophagus (the so-called Boerhaave's syndrome), the treatment of choice involves the surgical repair of the esophageal defect, usually accomplished through a laparotomy or thoracotomy. In this paper, we present a case of an elderly patient with severe comorbidities, in which a minimally invasive approach was attempted and a complete repair was successfully accomplished.
AuthorsValentino Fiscon, Giuseppe Portale, Pietro Fania, Stefano Duodeci, Flavio Frigo, Giovanni Migliorini
JournalJournal of laparoendoscopic & advanced surgical techniques. Part A (J Laparoendosc Adv Surg Tech A) Vol. 18 Issue 5 Pg. 721-2 (Oct 2008) ISSN: 1092-6429 [Print] United States
PMID18803516 (Publication Type: Case Reports, Journal Article)
Topics
  • Aged
  • Comorbidity
  • Esophageal Perforation (diagnostic imaging, surgery)
  • Esophagoscopy
  • Humans
  • Male
  • Minimally Invasive Surgical Procedures
  • Rupture, Spontaneous (diagnostic imaging, surgery)
  • Tomography, X-Ray Computed

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