392 results match your criteria Boerhaave Syndrome


VACStent: Combining the benefits of endoscopic vacuum therapy and covered stents for upper gastrointestinal tract leakage.

Endosc Int Open 2021 Jun 27;9(6):E971-E976. Epub 2021 May 27.

Department of Abdominal, Tumor, Transplant and Vascular Surgery, Cologne-Merheim Medical Center, University Witten/Herdecke, Cologne, Germany.

Endoscopic treatment has markedly improved the high morbidity and mortality in patients with upper gastrointestinal tract leakage. Most procedures employ either covered self-expanding metal stents (SEMS) or endoscopic vacuum therapy (EVT), both with good clinical success but also with concomitant significant shortcomings inherent in each technique. A newly developed device, the VACStent, combines the fully covered SEMS with a polyurethane sponge cylinder anchored on the outside. Read More

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Suitable Diagnosis and Treatment of Esophageal Ruptures in Cases of Non-Boerhaave Syndrome: A Comparison With Boerhaave Syndrome.

J Investig Med High Impact Case Rep 2021 Jan-Dec;9:23247096211014683

Nagoya City University, Nagoya City, Japan.

Boerhaave syndrome (BS) is frequently reported in cases of esophageal perforation; however, there are relatively few studies on non-Boerhaave syndrome (nBS). This study clarifies the appropriate diagnosis and treatment for patients with nBS among those with esophageal ruptures. Twelve patients with esophageal ruptures who underwent surgery at our department over 14 years were classified into 2 groups: 4 in the nBS group and 8 in the BS group. Read More

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Third time recurrent Boerhaave's syndrome: a case report.

J Med Case Rep 2021 May 2;15(1):223. Epub 2021 May 2.

Department of Clinical Sciences in Surgery, Lund University, Lund, Sweden.

Background: Effort rupture of the esophagus or Boerhaave's syndrome is a rare entity, and prognosis is largely dependent on early diagnosis and treatment. Recurrent effort ruptures are very rare, only reported in a few case reports in English literature. We present a case with a third time effort rupture, and to the best of our knowledge there are no such previous publications. Read More

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Boerhaave's syndrome after pentazocine-induced vomiting in a 21-year-old male with asthma: a case report.

Pan Afr Med J 2021 21;38:74. Epub 2021 Jan 21.

Cardiocare Specialty Hospital, Limi Hospital, Abuja, Nigeria.

Boerhaave's syndrome is an uncommon syndrome characterized by spontaneous rupture of the oesophagus with a high mortality rate. While excessive alcohol intake and binge-eating are the classic precipitants of this syndrome, medication-induced vomiting causing Booerhave's is quite uncommon. Traditionally managed operatively, conservative management is being increasingly reported in selected cases. Read More

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Boerhaave syndrome: an unusual cause of bilateral exudative pleural effusion.

Adv Respir Med 2021 Apr 21. Epub 2021 Apr 21.

Consultant Pulmonologist, Department of Pulmonary Medicine, Pushpanjali Hospital, Agra, India.

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Survival of Boerhaave syndrome against all odds at a rural Emergency Department.

Can J Rural Med 2021 Apr-Jun;26(2):87-90

Department of Health Sciences, Carleton University, Ottawa, ON, Canada.

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Spontaneous esophageal rupture following perforated peptic ulcer: a report of two cases.

J Cardiothorac Surg 2021 Mar 26;16(1):57. Epub 2021 Mar 26.

Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, No. 135 Nanxiao St., Changhua City, Changhua County, 500, Taiwan.

Background: Spontaneous esophageal rupture, also called Boerhaave's syndrome, is relatively uncommon but may result in high morbidity and mortality. Synchronous presentation of spontaneous esophageal rupture and perforated peptic ulcer was rare and may contribute to the difficulty of achieving a correct diagnosis.

Case Presentation: We reported two patients with spontaneous esophageal rupture following perforated peptic ulcer. Read More

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Finding the bubble: atypical and unusual extrapulmonary air in the chest.

Radiologia (Engl Ed) 2021 Mar 4. Epub 2021 Mar 4.

Servicio de radiodiagnóstico, Hospital Vall de Hebron, Barcelona, España.

Objective: To describe the radiologic findings of extrapulmonary air in the chest and to review atypical and unusual causes of extrapulmonary air, emphasizing the importance of the diagnosis in managing these patients.

Conclusion: In this article, we review a series of cases collected at our center that manifest with extrapulmonary air in the thorax, paying special attention to atypical and uncommon causes. We discuss the causes of extrapulmonary according to its location: mediastinum (spontaneous pneumomediastinum with pneumorrhachis, tracheal rupture, dehiscence of the bronchial anastomosis after lung transplantation, intramucosal esophageal dissection, Boerhaave syndrome, tracheoesophageal fistula in patients with esophageal tumors, bronchial perforation and esophagorespiratory fistula due to lymph-node rupture, and acute mediastinitis), pericardium (pneumopericardium in patients with lung tumors), cardiovascular (venous air embolism), pleura (bronchopleural fistulas, spontaneous pneumothorax in patients with malignant pleural mesotheliomas and primary lung tumors, and bilateral pneumothorax after unilateral lung biopsy), and thoracic wall (infections, transdiaphragmatic intercostal hernia, and subcutaneous emphysema after lung biopsy). Read More

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CT Esophagography for Evaluation of Esophageal Perforation.

Radiographics 2021 Mar-Apr;41(2):447-461. Epub 2021 Feb 12.

From the Department of Radiology, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI 53226.

Esophageal emergencies such as rupture or postoperative leak are uncommon but may be life threatening when they occur. Delay in their diagnosis and treatment may significantly increase morbidity and mortality. Causes of esophageal injury include iatrogenic (including esophagogastroduodenoscopy and stent placement), foreign body ingestion, blunt or penetrating trauma to the chest or abdomen, and forceful retching, also called Boerhaave syndrome. Read More

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February 2021

Boerhaave's syndrome: successful conservative treatment in two patients.

Acta Gastroenterol Belg 2020 Oct-Dec;83(4):654-656

Department of Gastroenterology UZ Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium and Department of Gastroenterology, AZ Groeninge, President Kennedylaan 4, 8500 Kortrijk, Belgium..

The Boerhaave syndrome is a spontaneous, post-emetic rupture of the esophagus and a rare but potentially fatal cause of upper gastrointestinal bleeding. There are currently no guidelines on the optimal treatment of these patients, although there is a strong tendency towards a surgical approach. We present 2 cases of male patients, 66- and 77-year old respectively, both admitted to the emergency department with hematemesis. Read More

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December 2020

Management of Boerhaave syndrome in Australasia: a retrospective case series and systematic review of the Australasian literature.

ANZ J Surg 2020 Dec 14. Epub 2020 Dec 14.

Department of Upper Gastrointestinal Tract Surgery, Westmead Hospital, Sydney, New South Wales, Australia.

Background: Boerhaave syndrome is a rare and life-threatening condition characterized by a spontaneous transmural tear of the oesophagus. There remains wide variation in the condition's management with non-operative management (NOM) and surgery being the two main treatment strategies. The aim was to review the presentation, management and outcomes for patients treated for Boerhaave syndrome at our institution and to compare these data with that previously reported within the Australasian literature. Read More

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December 2020

Dolor torácico y shock secundarios a perforación espontánea de esófago: síndrome de Boerhaave.

Cir Cir 2020 ;88(Suppl 2):18-20

Servicio de Radiodiagnóstico, Hospital Clínico Universitario San Cecilio, Granada, España.

La perforación esofágica es la más letal de todas las perforaciones del aparato digestivo. Se presenta el caso de un varón de 65 años que acude a urgencias por un cuadro clínico de dolor torácico, vómitos e hipotensión. Se le realizó tomografía computarizada por sospecha de síndrome aórtico agudo, con hallazgos sugerentes de perforación esofágica. Read More

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January 2020

Boerhaave syndrome due to excessive alcohol consumption: two case reports.

Int J Emerg Med 2020 Nov 30;13(1):56. Epub 2020 Nov 30.

Department of Emergency and Disaster Medicine, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.

Background: Spontaneous esophageal rupture, or Boerhaave syndrome, is a fatal disorder caused by an elevated esophageal pressure owing to forceful vomiting. Patients with Boerhaave syndrome often present with chest pain, dyspnea, and shock. We report on two patients of Boerhaave syndrome with different severities that was triggered by excessive alcohol consumption and was diagnosed immediately in the emergency room. Read More

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November 2020

Contralateral spontaneous rupture of the esophagus following severe emesis after non-intubated pulmonary wedge resection.

J Cardiothorac Surg 2020 Oct 1;15(1):285. Epub 2020 Oct 1.

Department of Surgery, Xuzhou Central Hospital, 199 Jiefang South Road, Xuzhou, China.

Background: Non-intubated thoracoscopic lung surgery has been reported to be technically feasible and safe. Spontaneous rupture of the esophagus, also known as Boerhaave's syndrome (BS), is rare after chest surgery.

Case Presentation: A 60-year-old female non-smoker underwent non-intubated uniportal thoracoscopic wedge resection for a pulmonary nodule. Read More

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October 2020

Suspecting a fatal condition on a plain chest radiograph; Boerhaave syndrome.

Scott Med J 2021 Feb 27;66(1):46-48. Epub 2020 Sep 27.

Consultant Acute Medicine/Diabetes & Endocrinology, University Hospitals of Derby and Burton, UK.

Spontaneous oesophagus rupture, also known as Boerhaave syndrome, is a rare but near-fatal medical condition and despite recent medical advancements, it remains a diagnostic challenge for front-door clinicians. The authors describe a similar presentation in an elderly gentleman who presented to the emergency department with sudden chest pain post vomiting. His initial chest radiograph showed bilateral dense consolidations and pleural effusions, and was treated as sepsis secondary to bilateral pneumonia. Read More

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February 2021

Proposed characterization of the syndrome of epidural pneumatosis (pneumorrhachis) in patients with forceful vomiting from diabetic ketoacidosis as a clinico-radiologic pentad based on systematic literature review & an illustrative case report.

Medicine (Baltimore) 2020 Aug;99(35):e21001

Division of Gastroenterology, Department of Internal Medicine, William Beaumont Hospital at Royal Oak.

Background: Previous literature on epidural pneumatosis (pneumorrhachis, or air in epidural cavity) associated with forceful vomiting in a patient with diabetic ketoacidosis (DKA) has consisted of individual case reports without comprehensive syndrome characterization due to syndromic rarity, with the largest previous literature review comprising 6 cases. Presumed pathophysiology is air escaping from alveolar rupture from forceful vomiting via tissue planes to cause epidural pneumatosis.

Aim: Systematically review literature to facilitate syndromic diagnosis, evaluation, and treatment. Read More

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Leuconostoc lactis and Staphylococcus nepalensis Bacteremia, Japan.

Emerg Infect Dis 2020 09;26(9):2283-2285

Leuconostoc lactis is a glycopeptide-resistant, gram-positive, facultative anaerobic coccus isolated from dairy products, whereas Staphylococcus nepalensis is coagulase-negative coccus that has not been identified as human pathogen. We report an instructive case of L. lactis and S. Read More

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September 2020

Mediastinal fluid as a predictor for esophageal perforation as the cause of pneumomediastinum.

Emerg Radiol 2021 Apr 19;28(2):233-238. Epub 2020 Aug 19.

Texas A&M College of Medicine, Bryan, TX, 77807, USA.

Purpose: Pneumomediastinum is not an uncommon finding on emergency CTs and is seen in a variety of settings, including acute trauma, recent repeated emesis and recent thoracic surgery, and after EGD (Kouritas et al. J Thorac Dis 7(Suppl 1):S44-S49, 2015). The purpose of this study was to examine cases of CT pneumomediastinum for distinguishing features which could support or exclude esophageal injury as a cause, which in turn could help guide evaluation of these patients. Read More

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Challenges faced in the management of complicated Boerhaave syndrome: a tertiary care center experience.

Pan Afr Med J 2020 3;36:65. Epub 2020 Jun 3.

Surgical Gastroenterology, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.

Spontaneous esophageal perforation is rare and is associated with high morbidity and mortality. A spectrum of various surgical modalities ranging from primary surgical repair to esophagectomy is available for its management. The optimal management of patients presenting late in a hemodynamically stable condition is not clearly defined in the literature. Read More

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December 2020

Safety and efficacy of endoscopic vacuum therapy for the treatment of perforations and anastomotic leaks of the upper gastrointestinal tract.

Gastroenterol Hepatol 2020 Oct 15;43(8):431-438. Epub 2020 Jul 15.

Servicio Digestivo, Hospital Universitari Mútua de Terrassa, Terrassa, España; Unidad de Endoscopia, Departamento de Gastroenterología, Centro Médico Teknon, Barcelona, España.

Aim: To evaluate the efficacy and safety of endoscopic vacuum therapy (EVT) in the management of perforations and anastomotic leaks of the upper gastrointestinal tract.

Patients And Methods: This is a retrospective observational study which included patients who underwent EVT due to any upper gastrointestinal defect between April 2017 and February 2019 in three Spanish Hospitals. To this end, we used the only medical device approved to date for endoscopic use (Eso-SPONGEr; B. Read More

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October 2020

Emulsified stromal vascular fraction tissue grafting: a new frontier in the treatment of esophageal fistulas.

Gastrointest Endosc 2020 Dec 4;92(6):1262-1263. Epub 2020 Jul 4.

Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Centre for Endoscopic Research Therapeutics and Training, Catholic University of Rome, Rome, Italy.

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December 2020

Esophageal perforation in eosinophilic esophagitis: five cases in children.

Endosc Int Open 2020 Jul 16;8(7):E830-E833. Epub 2020 Jun 16.

Intensive Care Unit, Department of Pediatric Medicine, University Hospital of Saint-Étienne, Saint-Etienne, France.

 Eosinophilic esophagitis (EoE) is a chronic immune disease with increasing incidence. It is clinically defined by symptoms of esophageal dysfunction and histologically by eosinophilic polynuclear cell infiltration of the esophageal mucosa. Symptoms are not specific and include gastroesophageal reflux disease (GERD), dysphagia, vomiting or dietary blockages. Read More

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Laparoscopic transhiatal suture and gastric valve as a safe and feasible treatment for Boerhaave's syndrome: an Italian single center case series study.

World J Emerg Surg 2020 07 1;15(1):42. Epub 2020 Jul 1.

Upper G.I. Surgery Division, Department of General Surgery, University of Verona, 37126, Verona, Italy.

Background: Boerhaave's syndrome (BS) is a rare life-threating condition with poor prognosis. Unfortunately, due to its very low incidence, no clear evidences or definitive guidelines are currently available: in detail, surgical strategy is still a matter of debate. Most of the case series reports thoracic approach as the most widely used; conversely, transhiatal abdominal management is just described in sporadic case reports. Read More

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Boerhaave's syndrome initially presented with sore throat and cough complicated by a bilateral pneumothorax.

Acta Gastroenterol Belg 2020 Apr-Jun;83(2):322-324

Department of Pneumology, Clinique Saint Joseph, Arlon, Belgium.

A 14-year-old male was admitted to the Emergency Department with sore throat and cough. One hour after his admission, he presented a hemodynamic compromise with a respiratory failure. The thoracic tomodensitometry highlighted a tension bilateral pneumothorax and mediastinum consecutive to an esophageal rupture in the left posterolateral wall also known as Boerhaave's syndrome which was treated successfully with a non-operative management. Read More

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October 2020

Spontaneous esophageal perforation (Boerhaave syndrome).

Cir Esp (Engl Ed) 2021 Apr 23;99(4):308. Epub 2020 May 23.

Servicio de Radiodiagnóstico, Hospital Virgen de la Victoria, Málaga, España.

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Renal colic causing Boerhaave syndrome.

Transl Androl Urol 2020 Apr;9(2):828-830

Department of Urology, Footscray Hospital, Footscray, Melbourne, Australia.

Boerhaave syndrome is the spontaneous rupture of the oesophagus, usually due to vomiting. The condition is rare but can be fatal. A 30-year-old male presented with vomiting and pain in his left flank and chest. Read More

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[A man with vomiting and retrosternal pain and dysphagia].

Ned Tijdschr Geneeskd 2020 04 20;164. Epub 2020 Apr 20.

Canisius Wilhelmina Ziekenhuis, afd. Maag-darm-leverziekten, Nijmegen.

A 67-year-old male presents with complaints of severe retrosternal pain, frequent vomiting and dysphagia. Endoscopy revealed a very large intramural oesophageal hematoma, obliterating the lumen. Additional CT-imaging showed peri-oesophageal air collections, indicative for oesophageal perforation (compatible with Boerhaave's syndrome). Read More

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Empyema as a Red Flag for Esophageal Rupture: A Case Report and Literature Review.

Case Rep Infect Dis 2020 14;2020:3935691. Epub 2020 Apr 14.

Division of Infectious Diseases, Allergy and Immunology, Saint Louis University, St. Louis, USA.

. empyema is a rare entity with an extremely high mortality rate.We present a case of multi species empyema in an immunocompetent female patient with Boerhaave syndrome secondary to retching and vomiting after heroin withdrawal. Read More

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Salvage Intraluminal Endoscopic Vacuum Therapy for Stent Failure in Late-Presenting Boerhaave Syndrome.

Authors:
Vincent Zimmer

Clin Gastroenterol Hepatol 2021 Apr 6;19(4):A32. Epub 2020 Mar 6.

Department of Medicine, Marienhausklinik St Josef Kohlhof, Neunkirchen, Germany; Department of Medicine II, Saarland University Medical Center, Saarland University, Homburg, Germany.

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