title: A delayed Boerhaave's syndrome diagnosis treated by thoracoscopy in prone position.
abstract: Boerhaave's syndrome or postemetic rupture of the esophagus, carries a high morbidity and mortality. The authors report a delayed Boerhaave's syndrome diagnosis (3 days), successfully treated by right thoracoscopic debridement in prone position. Thanks to gravity the cardiopulmonary bloc drops back and the access to the esophagus is direct allowing for accurate placement of the chest tubes near the perforation. The procedure is completed by laparoscopic placement of a feeding jejunostomy with the patient supine.
authors.affiliation: European School of Laparoscopic Surgery, Department of Gastrointestinal Surgery Saint-Pierre University Hospital, Brussels, Belgium. giovanni@dapri.net
authors.forename: G
authors.initials: G
authors.lastname: Dapri
authors.forename: H
authors.initials: H
authors.lastname: Dumont
authors.forename: A
authors.initials: A
authors.lastname: Roman
authors.forename: E
authors.initials: E
authors.lastname: Stevens
authors.forename: J
authors.initials: J
authors.lastname: Himpens
authors.forename: G B
authors.initials: GB
authors.lastname: Cadiere
mesh_terms: D003646:Debridement; D004750:Enteral Nutrition; D004935:Esophageal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007582:Jejunostomy; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016684:Prone Position; D013902:Radiography, Thoracic; D012422:Rupture, Spontaneous; D013577:Syndrome; D013906:Thoracoscopy; D013997:Time Factors; D014057:Tomography, X-Ray Computed