Abstract

MARTINEZ, Yolette. A case of Boerhaave syndrome treated with a self expanding metal stent. Gen [online]. 2013, vol.67, n.1, pp.36-38. ISSN 0016-3503.

Spontaneous esophageal perforation (SEP) or Boerhaave syndrome is a rare entity that consists in the rupture of the esophagus unrelated to trauma, invasive examinations, previous esophageal disease or the presence of foreign bodies. Regardless of its mechanism, esophageal perforation is considered the most serious of the digestive tract. If diagnosis and surgical repair are delayed the outlook worsens considerably. We present the case of a 37-year-old male patient in good health, who attends the emergency room because of sudden onset of epigastric pain radiating to the retrosternal region after vomiting. The patient´s ventilatory condition deteriorated progressively meriting transfer to the intensive care unit; 72 hours after admission, a barium esophagram showed dye extravasation in the distal esophagus, approx 3 cm above the left diaphragm. We immediately decided to place a Wilson-Cook partially covered metal stent (Evolution) through endoscopic and fluoroscopic guidance with complete resolution of symptoms.

Keywords : spontaneous esophageal perforation; Boerhaave syndrome; metal stent.

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