A Successful Strategy for Surgical Treatment of Boerhaave’s Syndrome Sans Thoracotomy
Dr. Devbrata Radhikamohan Adhikari,
Assistant Professor, Department of General Surgery, Topiwala National Medical College and
Bai Yamunabai Laxman Charitable Nair Hospital, Mumbai Central-400008, India.
Boerhaaveâ€™s syndrome is a rare life threatening condition that is often misdiagnosed and fatal if not treated promptly. While the gold standard is early surgical intervention, recent studies have showed success with conservative management. We report a case of Boerhaaveâ€™s syndrome that was managed conservatively by decompressive gastrostomy, feeding jejunostomy, bilateral intercostal drainage tubes with added proximal diverting cervical esophagostomy. The patient recovered completely and stoma closure was done two months later.