Tahir Yunus, Hager Aref, Obadah Alhallaq. IMC
Background: Boerhaave’s syndrome involves an abrupt elevation in the intraluminal pressure of the oesophagus, causing a transmural perforation. It is associated with high morbidity and mortality. Having a nonspecific presentation may contribute to a delay in diagnosis and results in poor outcomes. Treatment is challenging, yet early surgical intervention is the most important prognostic factor.
Case Presentation: We present a case of a thirty-two-year-old male with a long medical history of dysphagia due to benign oesophagal stricture. He presented with acute onset of epigastric pain after severe emesis. Based on Computed Tomography scan, he was diagnosed with Boerhaave’s syndrome. Presenting with signs of shock, mandated immediate Surgical exploration. For which he was taken for Laparoscopic primary repair with uneventful postoperative recovery.
Conclusion: The Golden period of the first 24 hours of insult still applies for cases of oesophagal perforation. The rarity of these cases makes a comparison between the various treatment methods difficult. Our data support that the use of Laparoscopic operative intervention with primary repair as the mainstay of treatment for the management of oesophageal perforation.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 84953
Program Number: P184
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster