Boerhaave Syndrome Treatment with a Fully-Covered Metallic Stent

A 32-year-old male presented with posterior thoracic pain shortly after choking with water.

His initial clinical observation was unremarkable.

Blood results showed leukocytosis 21.2000/mm³ and normal C-reactive protein.

Thoracic computed tomography (CT) revealed a small pneumomediastinum originating from a rupture of the mid-distal left esophageal wall, consistent with Boerhaave syndrome. Broad-spectrum antibiotics were started.

Upper endoscopy showed a 2-centimetre wall defect in the mid-distal esophagus. A self-expandable fully-covered metallic stent 23x125mm was placed and fixed proximally with metallic clips.

The patient had a favorable clinical evolution. A CT performed on day 5 showed no signs of mediastinal air or collections.

Citation: Bordalo Ferreira F, Correia F, Ferreira Cardoso M et al. OP19V BOERHAAVE SYNDROME TREATMENT WITH A FULLY-COVERED METALLIC STENT. Endoscopy 2021; 53: S11.

Publication History

Article published online:
19 March 2021