LAPAROSCOPIC TREATMENT OF BOERHAAVE SYNDROME. CASE REPORT

I. .. Semenyakin; O. .. Lutsevich; E. .. Galliamov; A. .. Shestakov; S. .. Erin; M. .. Dibirov; E. .. Kytirev; A. .. Bobylev; N. .. Kosyakov; V. .. Fomin; F. .. Bokarev; G. .. Gololobov

doi:10.17238/issn2072-3180.2019.5.9-14

LAPAROSCOPIC TREATMENT OF BOERHAAVE SYNDROME. CASE REPORT

I. .. Semenyakin, O. .. Lutsevich, E. .. Galliamov, A. .. Shestakov, S. .. Erin, M. .. Dibirov, E. .. Kytirev, A. .. Bobylev, N. .. Kosyakov, V. .. Fomin, F. .. Bokarev, G. .. Gololobov

https://doi.org/10.17238/issn2072-3180.2019.5.9-14

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Abstract

Background. Spontaneous rupture of the esophagus (Burhave syndrome) is a rare pathology and emergency condition for the patient. With the diversity of the clinical view, this pathology is usually diagnosed out of time, over 24 hours, and therefore the postoperative mortality remains high. The group of authors provides a clinical case: patient, 60 years old, on the 6th day of the disease falls into the clinic, where a spontaneous rupture of the esophagus is diagnosed. Given the severe physical status of the patient, as well as the size and location of the perforation hole, it was decided to go for a laparoscopic surgery. Sanitation and drainage of the mediastinum, suturing of the perforation hole were performed. After the operation, а positive response to treatment was observed. In the postoperative period, right-sided pneumonia was diagnosed, which required a change in the antibacterial drug. The patient was discharged in satisfactory condition on day 29. A group of authors believes that a minimally invasive approach to the treatment of spontaneous esophageal rupture is the alternative method for patients with severe somatic status and a small perforated opening of the esophagus.

Keywords

Boerhaave syndrome, laparoscopic fundoplication, esophageal rupture

About the Authors

I. .. Semenyakin

Evdokimov Moscow State University of Medicine and Dentisty of Healthcare Ministry of the Russia; RSSC named B.V. Petrovsky
Russian Federation

O. .. Lutsevich

Evdokimov Moscow State University of Medicine and Dentisty of Healthcare Ministry of the Russia
Russian Federation

E. .. Galliamov

First Moscow State Medical University named after I.M. Sechenov (Sechenov University)
Russian Federation

A. .. Shestakov

RSSC named B.V. Petrovsky
Russian Federation

S. .. Erin