Trattamento conservativo della sindrome di Boerhaave nell'anziano: Descrizione di un caso clinico

Translated title of the contribution: Conservative treatment of Boerhaave's syndrome in the elderly: Case report

W. Testi, L. Voltolini, R. Malatesti, R. Silverio, Y. Macchitella, A. De Martino, G. Botta, F. M. Consiglio

Research output: Contribution to journalArticle

Abstract

Despite of the important progress in thoracic surgery, the treatment of esophageal perforation remain a discussed and controversial argument. A woman of 83 years old, was admitted to hospital for epigastric pain arised since 24 hours with nausea, emesis and fever. Initially the case was suggesting for a cholecistitis; after four days we assisted to an aggravation of symptomathology associated with cervical emphisema. The thoracic CT response was "a mediastinitis due to a rupture of the esophagus". Medical treatment was total parenteral nutrition and best performed antibiotic therapy. The patient had a slow improvement until complete recovery. At the beginning, symptomathology was prevalently abdominal (biliary colic and emesis); for this reason, diagnosis was done when mediastinitis was already established and surgical treatment was very dangerous. In conclusion the Boerhaave's Syndrome is a rare pathology and it can starts with an unclear symptomathology. When diagnosis is late, surgical treatment is extremely dangerous and sometimes, we may obtained good results with conservative therapy.

Original languageItalian
Pages (from-to)279-283
Number of pages5
JournalChirurgia
Volume19
Issue number4
Publication statusPublished - Aug 2006

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ASJC Scopus subject areas

  • Surgery

Cite this

Testi, W., Voltolini, L., Malatesti, R., Silverio, R., Macchitella, Y., De Martino, A., Botta, G., & Consiglio, F. M. (2006). Trattamento conservativo della sindrome di Boerhaave nell'anziano: Descrizione di un caso clinico. Chirurgia, 19(4), 279-283.