Anatomy of the Boerhaave syndrome

Acute Respiratory Failure in a Patient With Spontaneous Esophageal Rupture (Boerhaave Syndrome)

“…7 In the vast majority of cases the tear is situated in the left posterolateral wall of the lower third of the esophagus and communicates with the left pleural cavity. 10,11 The overall mortality range has been reported as 6 -31%, but might be as high as 65-89%. [5][6][7]9,12 This makes Boerhaave syndrome the most lethal perforation of the gastrointestinal tract.…”

Spontaneous Esophagus Perforation: A Rare Case

“…It is a life-threatening condition and requires early diagnosis and urgent care. Boerhaave's syndrome is characterized by the full layer and vertical tear at the cardioesophageal junction of the esophagus, following heaving and vomiting, and results from the sudden rise in intraluminal pressure in the distal esophagus (2,3). Here, we presented a patient with Boerhaave's syndrome that is rarely seen and reviewed the diagnostic tools and treatment options in our report.…”

Approach and management modalities in Esophageal Perforations

“…And it increases to 40-60% among those who receive treatment after two days. [1][2][3][4][5][6] Typical structure and placement of esophagus leads to infection by bacteria easily as well as damage by digestive enzymes can occur which in turn can lead to increased mortality. 7 But fortunately this condition of esophageal perforation is rare.…”

“…[7][8][9][10] In case the diagnosis of perforation is made within 24 hours, the treatment of choice is primary closure of the perforation site and wide drainage of the mediastinum. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] On the other hand, if the diagnosis is delayed for more than 24 hours, then the treatment of choice is questionable. [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] Mortality rate is determined by some factors like cause, the injury site, pre-existing disease of esophagus, treatment method used and the timing of the diagnosis.…”

“…[18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] Mortality rate is determined by some factors like cause, the injury site, pre-existing disease of esophagus, treatment method used and the timing of the diagnosis. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] Esophageal perforations are dramatic complications and if managed improperly result in mortality. Proper management requires an appreciation of the anatomy, the etiology and the pathophysiology of this entity.…”