Complicated Boerhaave’s Syndrome Managed by Conservative Treatment
S. D. Peter, A. H. Shitta, J. M. Njem, E. O. Igoh, A. F. Ale, M. W. Isichei, E. O. Ojo, M. A. Misauno, B. T. Ugwu
Journal of Advances in Medicine and Medical Research · pp. 61–65 · Published 2 Nov 2020
10.9734/jammr/2020/v32i1930671Abstract
Boerhaave’s syndrome is a full-thickness perforation of oesophagus associated with vomiting and/or severe straining. It is a severe condition with high morbidity and mortality; the outcome is dependent on early recognition, prompt and effective intervention. It commonly presents early with mediastinitis or pleural effusion. Though uncommon, it can present late with severe chest complications which are usually managed aggressively. The present study reports a 41-year old Nigerian man with Boerhaave’s syndrome who presented with left pneumohydrothorax who was successfully managed with chest tube thoracostomy drainage and parenteral nutrition.
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