Publication at First Faculty of Medicine |
2004
Abstract
The authors describe the case of a 71-year-old male with atypical presentation of Boerhaave?s syndrome in the lower abdominal part of oesophagus without typical clinical findings. The patient was referred for severe vomiting and for suspicion of volvulus of the stomach.
The perforation of the oesophagus was identified by means of endoscopy. Surgical treatment was complicated by a postoperative leak, which was successfully managed with drainage and enteral feeding via a fine bore nasojejunal tube.