Boerhaave’s syndrome: long free interval before successful primary repair Case report

Abstract

AIM: Report case of a 66-year-old man come to our observation for a bilateral pleural effusion, ten days after clinical manifestations of chest pain, initially misdiagnosed with a myocardial infarction.

MATERIAL OF STUDY: On the same day, the patient underwent an emergency chest CT scan with orally administered contrast medium that confirmed our suspicion of breakage of the esophageal wall. The patient underwent to a left thoracotomy: the visceral pleura and all the structures covered by the parietal pleura were affected by a widespread necrotic process. The subsequent cleansing of the pleural cavity revealed that the distal portion of the thoracic esophagus was lacerated for about 5 cm; the tear was repaired with continuous reabsorbable sutures; to protect the suture fundoplication of the gastric fundus was performed.

RESULTS: Post-operative course was complicated on 15th day by a chylous spreading from the chest drains; to complete the postoperative checks, a chest CT scan was therefore performed, orally administering the contrast medium without any signs of extraluminal spreading; the chylous effusion resolved spontaneously with diet. After being discharged, the patient was followed on an outpatient basis for 36 months.

CONCLUSION: Boerhaave’s syndrome is a rare and serious clinical condition; when a patient is diagnosed after 24-48 hs, many surgeons follow conservative treatment; however primary repair can be safely accomplished regardless of the time interval between perforation and operation, like our singular experience demonstrated.