Document Detail

Boerhaave's syndrome. Spontaneous formation of an esophageal-bronchial fistula.
MedLine Citation:
PMID:  578905     Owner:  NLM     Status:  MEDLINE    
Although Boerhaave's syndrome is usually a surgical emergency, we recently observed a 57-year-old man with a chronic Boerhaave's syndrome. Initially, he responded to conservative management. However, the spontaneous formation of an esophageal-bronchial fistula complicated his course. Pulmonary symptoms and weight loss prompted surgical intervention. We speculate that the patient's six-week clinical course before surgery was tolerated because the contamination of the mediastinum following the initial esophageal tear was well contained and allowed sufficient time for the spontaneous formation of an esophageal-bronchial fistula.
E A Zenone; B W Trotman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  JAMA     Volume:  238     ISSN:  0098-7484     ISO Abbreviation:  JAMA     Publication Date:  1977 Nov 
Date Detail:
Created Date:  1977-12-29     Completed Date:  1977-12-29     Revised Date:  2014-09-17    
Medline Journal Info:
Nlm Unique ID:  7501160     Medline TA:  JAMA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2048-9     Citation Subset:  AIM; IM    
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MeSH Terms
Bronchial Fistula / complications*
Chronic Disease
Esophageal Fistula / complications*
Esophageal Perforation / complications*
Lung / surgery
Middle Aged
Postoperative Complications
Rupture, Spontaneous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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