Conservative management of a three-day-old esophageal perforation with feeding jejunostomy and prokinetic drug.
Spontaneous esophageal perforation is a well-recognized, life-threatening emergency. The spectrum of presentation is a major reason for errors in diagnosis and the failure to institute prompt and imminent management. A case of Boerhaave's syndrome, diagnosed and managed non-operatively in a tertiary center three days after tear, is described. The diagnosis was confirmed with a series of gastrograffin esophagograms which revealed a leak in the lower part of the esophagus, with hydropneumothorax.
Vyas
Dinesh
D
Department of Surgery, S. M. S. Medical College, Jaipur, India. dineshvyas@yahoo.com
D004750:Enteral Nutrition / Q000379:methods*; D004939:Esophageal Perforation / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy*; D006801:Humans; D007582:Jejunostomy; D008297:Male; D008875:Middle Aged