Laparoscopic transhiatal repair and transhiatal thoracic drainage for Boerhaave's syndrome : A case report Ryuta IDE 1 , Takahisa SUZUKI 1 , Takashi URUSHIHARA 1 , Toshiyuki ITAMOTO 1 1Department of Gastroenterological Surgery, Hiroshima Prefectural Hospital Keyword: 特発性食道破裂 , 腹腔鏡下手術 , 縦隔ドレナージ pp.327-332
Published Date 2017/5/15
DOI https://doi.org/10.11477/mf.4426200407
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Spontaneous esophageal rupture, also known as Boerhaave's syndrome(BS), is an uncommon and potentially lethal pathological condition. We report a case of BS that was successfully treated by primary closure and drainage laparoscopically. A 78-year-old woman was admitted to our hospital with epigastric pain after dinner. A thoracic CT scan revealed mediastinal emphysema. Spontaneous rupture of the esophagus was confirmed on esophagography which demonstrated an evidence of perforation in the right wall of the lower esophagus. We conducted emergent laparoscopic transhiatal approach repair and transhiatal thoracic drainage. The patient was discharged on the 58th post-operative day without a serious postoperative complication. Laparoscopic surgery is effective for spontaneous esophageal rupture with contamination to be confined to the mediastinum.

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