Complicated Boerhaave’s Syndrome Managed by Conservative Treatment
S. D. Peter *
Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
A. H. Shitta
Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
J. M. Njem
Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
E. O. Igoh
Department of Radiology, Jos University Teaching Hospital, Jos, Nigeria.
A. F. Ale
Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
M. W. Isichei
Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
E. O. Ojo
Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
M. A. Misauno
Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
B. T. Ugwu
Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Boerhaave’s syndrome is a full-thickness perforation of oesophagus associated with vomiting and/or severe straining. It is a severe condition with high morbidity and mortality; the outcome is dependent on early recognition, prompt and effective intervention. It commonly presents early with mediastinitis or pleural effusion. Though uncommon, it can present late with severe chest complications which are usually managed aggressively. The present study reports a 41-year old Nigerian man with Boerhaave’s syndrome who presented with left pneumohydrothorax who was successfully managed with chest tube thoracostomy drainage and parenteral nutrition.
Keywords: Boerhaave’s syndrome, pneumohydrothorax, pneumopyothorax, conservative.