Document Detail


A delayed Boerhaave's syndrome diagnosis treated by thoracoscopy in prone position.
MedLine Citation:
PMID:  18577910     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Boerhaave's syndrome or postemetic rupture of the esophagus, carries a high morbidity and mortality. The authors report a delayed Boerhaave's syndrome diagnosis (3 days), successfully treated by right thoracoscopic debridement in prone position. Thanks to gravity the cardiopulmonary bloc drops back and the access to the esophagus is direct allowing for accurate placement of the chest tubes near the perforation. The procedure is completed by laparoscopic placement of a feeding jejunostomy with the patient supine.
Authors:
G Dapri; H Dumont; A Roman; E Stevens; J Himpens; G B Cadiere
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Minerva chirurgica     Volume:  63     ISSN:  0026-4733     ISO Abbreviation:  Minerva Chir     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-25     Completed Date:  2008-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400726     Medline TA:  Minerva Chir     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  237-40     Citation Subset:  IM    
Affiliation:
European School of Laparoscopic Surgery, Department of Gastrointestinal Surgery Saint-Pierre University Hospital, Brussels, Belgium. giovanni@dapri.net
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MeSH Terms
Descriptor/Qualifier:
Debridement
Enteral Nutrition
Esophageal Diseases / diagnosis*,  radiography,  surgery*
Humans
Jejunostomy
Laparoscopy
Male
Middle Aged
Prone Position
Radiography, Thoracic
Rupture, Spontaneous
Syndrome
Thoracoscopy*
Time Factors
Tomography, X-Ray Computed

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


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