The Curious Case of Benjamin Boerhaave: Laparoscopic Primary Repair of Esophageal Perforation With Anterior Dor Fundoplication

Rebecca Kowalski, MD, Niket Sonpal, MD, Jennifer Montes, MD, Paresh C Shah, MD FACS. Lenox Hill Hospital, Northshore-LIJ Health System, Hofstra Medical School, New York, NY

 

We present a 54 year-old man who presented complaining of acute onset of epigastric abdominal pain.  On CT scan of the abdomen/pelvis, he was found to have bilateral pleural effusions, pneumopericardium, and pneumomediastinum tracking into the upper abdomen with extravasation of oral contrast around the distal esophagus.  He was taken emergently to the operating room for suspected rupture of the distal esophagus.  A 2.5 cm anterior esophageal perforation was found and repaired primarily with a Dor fundoplication and feeding jejunostomy placement.  Operative duration was 2 hours 55 minutes with minimal blood loss.


Session Number: VidTV2 – Video Channel Rotation Day 2
Program Number: V112

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