Boerhaave’s syndrome: case report and review


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Abstract

Well-timed diagnostics of a spontaneous nontraumatic rupture of esophagus or Boerhaave’s syndrome, presents great difficulties because of his rarity and a variety of clinical implications. Esophagus ruptures may feign various organs pathology [2] that most often demands differential diagnostics with a stomach ulcer perforation, acute myocardial infarction, pulmonary artery embolism, aortic dissection and pancreatitis [16, 17]. The treatment can include conservative and surgical tools, but still accompanied by high mortality (up to 35%) [7]; results largely defined by the time between the moment of a rupture and start of the treatment. In addition to the review, described the experience of successful treatment of a patient with Boerhaave’s syndrome in the light of the generalized today data of world medical literature on this problem.

About the authors

S. A. Andreychenko

Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency

Author for correspondence.
Email: sergandletter@gmail.com

врач отделения Реанимации и интенсивной терапии Центра анестезиологии и реанимации ФНКЦ ФМБА России

Russian Federation, 28, Orekhovy boulevard, Moscow, 115682

M. V. Bychinin

Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency

Email: drbychinin@gmail.com

к.м.н., заведующий отделением Реанимации и интенсивной терапии Центра анестезиологии и реанимации ФНКЦ ФМБА России

Russian Federation, 28, Orekhovy boulevard, Moscow, 115682

T. V. Klypa

Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency

Email: tvklypa@gmail.com

к.м.н., руководитель Центра анестезиологии и реанимации ФНКЦ ФМБА России

Russian Federation, 28, Orekhovy boulevard, Moscow, 115682

Yu. V. Ivanov

Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency

Email: ivanovkb83@yandex.ru

д.м.н., профессор, заведующий отделением хирургии ФНКЦ ФМБА России

Russian Federation, 28, Orekhovy boulevard, Moscow, 115682

D. V. Sazonov

Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency

Email: dvsazonov@mail.ru

к.м.н., заведующий отделением эндоскопии ФНКЦ ФМБА России

Russian Federation, 28, Orekhovy boulevard, Moscow, 115682

R. M. Dyminov

Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency

Email: dyminov-roman@mail.com

врач отделения Анестезиологии-реанимации Центра анестезиологии и реанимации ФНКЦ ФМБА России

Russian Federation, 28, Orekhovy boulevard, Moscow, 115682

O. R. Shablovskiy

Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency

Email: Oleg_Shablovsky@mail.ru

д.м.н., профессор,заместитель главного врача по хирургической помощи ФНКЦ ФМБА России

28, Orekhovy boulevard, Moscow, 115682

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Copyright (c) 2018 Andreychenko S.A., Bychinin M.V., Klypa T.V., Ivanov Y.V., Sazonov D.V., Dyminov R.M., Shablovskiy O.R.

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