Journal of Minimal Access Surgery

UNUSUAL CASE
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Year : 2010  |  Volume : 6  |  Issue : 3  |  Page : 76--79

Boerhaave俟Q製 syndrome: Thoracolaparoscopic approach

Shulmit Vaidya, Suraj Prabhudessai, Nitish Jhawar, Roy V Patankar 
 Department of Gastrointestinal and Minimally Access Surgery, Joy Hospital, Mumbai

Correspondence Address:
Roy V Patankar
Joy Hospital, 423 A/B, 10th Road, Opp. Post Office, Chembur (E), Mumbai - 400 071

We present a case of Boerhaave俟Q製 syndrome managed thoracolaparoscopically. A 45-year- old man presented with hydropneumothorax following severe retching. He was treated with Intercostal drainage insertion as the primary management and referred to a tertiary care centre. There endoscopic stapling was attempted, following which he developed a leak. He presented to us with severe sepsis and mediastinal collection on the ninth day following the perforation. We treated him with thoracoscopic mediastinal toilet, laparoscopic-assisted feeding jejunostomy and cervical oesophagostomy. The patient was managed conservatively. A computed tomography (CT) scan was repeated at intervals of 15 days. He was continued on full jejunostomy feeds. Regular assessment of the oesophagus injury was conducted via the CT scan. The patient had complete healing of the perforation at end of two months. His oesophagostomy was closed and he remained symptom-free at follow-up. We conclude that thoracoscopy has an important role to play in the management of patients with mediastinal sepsis and late presentation of Boerhaave俟Q製 perforation.


How to cite this article:
Vaidya S, Prabhudessai S, Jhawar N, Patankar RV. Boerhaave's syndrome: Thoracolaparoscopic approach.J Min Access Surg 2010;6:76-79


How to cite this URL:
Vaidya S, Prabhudessai S, Jhawar N, Patankar RV. Boerhaave's syndrome: Thoracolaparoscopic approach. J Min Access Surg [serial online] 2010 [cited 2021 Jan 25 ];6:76-79
Available from: https://www.journalofmas.com/article.asp?issn=0972-9941;year=2010;volume=6;issue=3;spage=76;epage=79;aulast=Vaidya;type=0