Skip to main content
Top
Published in: Surgical Endoscopy 11/2010

01-11-2010 | Dynamic Manuscript

Spontaneous rupture of middle thoracic esophagus: thoracoscopic treatment

Authors: Valentino Fiscon, Giuseppe Portale, Flavio Frigo, Giovanni Migliorini, Piero L. Fania

Published in: Surgical Endoscopy | Issue 11/2010

Login to get access

Abstract

Spontaneous rupture of the esophagus (so-called Boerhaave’s syndrome) is considered a medical emergency. It carries a significant mortality rate and requires prompt treatment. The treatment of choice involves surgical repair of the esophageal defect, usually accomplished via laparotomy, thoracotomy, or both to accomplish esophageal repair and mediastinal debridement. We have treated an elderly patient with severe comorbidities with a minimally invasive approach, achieving a successful complete repair. Long-term endoscopic and radiologic follow-up confirm the good results.
Appendix
Available only for authorised users
Literature
1.
go back to reference Boerhaave H (1724) Atrocis, nec descripti prius, morbid historia secundum artis leges conscripta, lugduni batavorum, bontes teniana. Medici 60 Boerhaave H (1724) Atrocis, nec descripti prius, morbid historia secundum artis leges conscripta, lugduni batavorum, bontes teniana. Medici 60
2.
go back to reference Skinner DB, Little AG, DeMeester TR (1998) Management of esophageal perforation. Am J Surg 139:760–764CrossRef Skinner DB, Little AG, DeMeester TR (1998) Management of esophageal perforation. Am J Surg 139:760–764CrossRef
3.
go back to reference Jones WG, Ginsberg RJ (1992) Esophageal perforation: a continuing challenge. Ann Thorac Surg 53:534–543CrossRefPubMed Jones WG, Ginsberg RJ (1992) Esophageal perforation: a continuing challenge. Ann Thorac Surg 53:534–543CrossRefPubMed
4.
go back to reference Lang MH, Bruns DH, Schmitz B, Wuerl P (2006) Esophageal perforation: principles of diagnosis and surgical management. Surg Today 36:332–340CrossRef Lang MH, Bruns DH, Schmitz B, Wuerl P (2006) Esophageal perforation: principles of diagnosis and surgical management. Surg Today 36:332–340CrossRef
5.
go back to reference Abbas G, Schuchert MJ, Pettiford BL, Pennathur A, Landrenau J, Landrenau J, Luketich J, Landrenau RJ (2009) Contemporaneous management of esophageal perforation. Surgery 146:749–756CrossRefPubMed Abbas G, Schuchert MJ, Pettiford BL, Pennathur A, Landrenau J, Landrenau J, Luketich J, Landrenau RJ (2009) Contemporaneous management of esophageal perforation. Surgery 146:749–756CrossRefPubMed
6.
go back to reference Orringer MB, Stirling MC (1990) Esophagectomy for esophageal disruption. Ann Thorac Surg 49:35–43CrossRefPubMed Orringer MB, Stirling MC (1990) Esophagectomy for esophageal disruption. Ann Thorac Surg 49:35–43CrossRefPubMed
7.
go back to reference Johnson J, Schwegman CW, Kirby CK (1956) Esophageal exclusion for persistent fistula following spontaneous rupture of the esophagus. J Thorac Surg 32:827–831PubMed Johnson J, Schwegman CW, Kirby CK (1956) Esophageal exclusion for persistent fistula following spontaneous rupture of the esophagus. J Thorac Surg 32:827–831PubMed
8.
go back to reference Whyte RI, Iannettoni MD, Orringer MB (1995) Intrathoracic esophageal perforation. The merit of primary repair. J Thorac Cardiovasc Surg 109:140–146CrossRefPubMed Whyte RI, Iannettoni MD, Orringer MB (1995) Intrathoracic esophageal perforation. The merit of primary repair. J Thorac Cardiovasc Surg 109:140–146CrossRefPubMed
9.
go back to reference Ohri SK, Liakakos TA, Pathi V, Thowsend ER, Fountain SW (1993) Primary repair of iatrogenic esophageal perforation and Boerhaave’s syndrome. Ann Thorac Surg 55:603–606CrossRefPubMed Ohri SK, Liakakos TA, Pathi V, Thowsend ER, Fountain SW (1993) Primary repair of iatrogenic esophageal perforation and Boerhaave’s syndrome. Ann Thorac Surg 55:603–606CrossRefPubMed
10.
go back to reference Ashrafi AS, Awais O, Alvelo-Rivera M (2007) Minimally invasive management of Boerhaave’s syndrome. Ann Thorac Surg 83:317–319CrossRefPubMed Ashrafi AS, Awais O, Alvelo-Rivera M (2007) Minimally invasive management of Boerhaave’s syndrome. Ann Thorac Surg 83:317–319CrossRefPubMed
11.
go back to reference Landen S, El Nakadi I (2002) Minimally invasive approach to Boerhaave’s syndrome: a pilot study of three cases. Surg Endosc 16:1354–1357CrossRefPubMed Landen S, El Nakadi I (2002) Minimally invasive approach to Boerhaave’s syndrome: a pilot study of three cases. Surg Endosc 16:1354–1357CrossRefPubMed
12.
go back to reference Dapri G, Dumont H, Roman A, Stevens E, Himpens J, Cadiere GB (2008) A delayed Boerhaave’s syndrome diagnosis treated by thoracoscopy in prone position. Minerva Chir 63:237–240PubMed Dapri G, Dumont H, Roman A, Stevens E, Himpens J, Cadiere GB (2008) A delayed Boerhaave’s syndrome diagnosis treated by thoracoscopy in prone position. Minerva Chir 63:237–240PubMed
13.
go back to reference Scott HJ, Rosin RD (1995) Thoracoscopic repair of transmural rupture of the oesophagus (Boerhaave’s syndrome). J R Soc Med 88:414–415 Scott HJ, Rosin RD (1995) Thoracoscopic repair of transmural rupture of the oesophagus (Boerhaave’s syndrome). J R Soc Med 88:414–415
14.
go back to reference Dumonceau JM, Deviere J, Capello M, Van Gossum A, Cremer M (1996) Endoscopic treatment of Boerhaave’s syndrome. Gastrointest Endosc 44:477–479CrossRefPubMed Dumonceau JM, Deviere J, Capello M, Van Gossum A, Cremer M (1996) Endoscopic treatment of Boerhaave’s syndrome. Gastrointest Endosc 44:477–479CrossRefPubMed
15.
go back to reference Eubanks PJ, Nguyen D, Procaccino F, Eysselein VE, Klein SR (1999) Case of Boerhaave’s syndrome treated with a metallic self-expandable metallic stent. Gastrointest Endosc 49:780–783CrossRefPubMed Eubanks PJ, Nguyen D, Procaccino F, Eysselein VE, Klein SR (1999) Case of Boerhaave’s syndrome treated with a metallic self-expandable metallic stent. Gastrointest Endosc 49:780–783CrossRefPubMed
16.
go back to reference Kiev J, Amendola M, Bouhaidar D, Sandhu BS, Zhao X, Maher J (2007) A management algorithm for esophageal perforation. Am J Surg 194:103–106CrossRefPubMed Kiev J, Amendola M, Bouhaidar D, Sandhu BS, Zhao X, Maher J (2007) A management algorithm for esophageal perforation. Am J Surg 194:103–106CrossRefPubMed
17.
go back to reference Salminen P, Gullichsen R, Laine S (2009) Use of self-expandable metal stents for the treatment of esophageal perforations and anastomotic leaks. Surg Endosc 23:1526–1530CrossRefPubMed Salminen P, Gullichsen R, Laine S (2009) Use of self-expandable metal stents for the treatment of esophageal perforations and anastomotic leaks. Surg Endosc 23:1526–1530CrossRefPubMed
18.
go back to reference Freeman RK, van Woerkom JM, Vyveberg A, Ascioti AJ (2009) Esophageal stent placement for the treatment of spontaneous esophageal perforations. Ann Thorac Surg 88:194–198CrossRefPubMed Freeman RK, van Woerkom JM, Vyveberg A, Ascioti AJ (2009) Esophageal stent placement for the treatment of spontaneous esophageal perforations. Ann Thorac Surg 88:194–198CrossRefPubMed
19.
go back to reference Leers JM, Vivaldi C, Schäfer H, Bludau M, Brabender J, Lurje G, Herbold T, Hölscher AH, Metzger R (2009) Endoscopic therapy for esophageal perforation or anastomotic leak with a self-expandable metallic stent. Surg Endosc 23(10):2258–2262CrossRefPubMed Leers JM, Vivaldi C, Schäfer H, Bludau M, Brabender J, Lurje G, Herbold T, Hölscher AH, Metzger R (2009) Endoscopic therapy for esophageal perforation or anastomotic leak with a self-expandable metallic stent. Surg Endosc 23(10):2258–2262CrossRefPubMed
Metadata
Title
Spontaneous rupture of middle thoracic esophagus: thoracoscopic treatment
Authors
Valentino Fiscon
Giuseppe Portale
Flavio Frigo
Giovanni Migliorini
Piero L. Fania
Publication date
01-11-2010
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 11/2010
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-010-1056-4

Other articles of this Issue 11/2010

Surgical Endoscopy 11/2010 Go to the issue