title: [Spontaneous transmural rupture of the esophagus (Boerhaave's syndrome)].
abstract: A case is presented of spontaneous transmural rupture of the lower third of the esophagus, penetrating the left pleural space. The patient underwent repair under 7 hours by combined approach (laparotomy and left thoracotomy). High mortality and morbidity of Boerhaave's syndrome can be lowered by prompt and careful evaluation of symptoms and radiological signs, so avoiding incorrect or late diagnosis. Results appear to be related more to the time interval between perforation and operation than to the specific technique used.
authors.affiliation: Ospedale di S Maria Nuova, USL 10/A U.O. di Chirurgia Generale, Firenze.
authors.forename: M
authors.initials: M
authors.lastname: Conti
authors.forename: G P
authors.initials: GP
authors.lastname: Androsoni
authors.forename: P L
authors.initials: PL
authors.lastname: Ipponi
authors.forename: V
authors.initials: V
authors.lastname: Lazzeri
authors.forename: R
authors.initials: R
authors.lastname: Naspetti
authors.forename: S
authors.initials: S
authors.lastname: Secci
authors.forename: S
authors.initials: S
authors.lastname: Pizza
mesh_terms: D000368:Aged; D004935:Esophageal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011859:Radiography; D012422:Rupture, Spontaneous; D013577:Syndrome; D013997:Time Factors