title: Successful minimally invasive repair of spontaneous esophageal perforation.
abstract: Esophageal perforations with a mediastinal abscess are medical emergencies with a significant mortality rate. Prompt management is mandatory, and a variety of treatment strategies have been advocated. In the case of a spontaneous rupture of the esophagus (the so-called Boerhaave's syndrome), the treatment of choice involves the surgical repair of the esophageal defect, usually accomplished through a laparotomy or thoracotomy. In this paper, we present a case of an elderly patient with severe comorbidities, in which a minimally invasive approach was attempted and a complete repair was successfully accomplished.
authors.affiliation: Department of General Surgery, Azienda ULSS 15 Alta Padovana, Cittadella, Italy. valentino.fiscon@virgilio.it
authors.forename: Valentino
authors.initials: V
authors.lastname: Fiscon
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Portale
authors.forename: Pietro
authors.initials: P
authors.lastname: Fania
authors.forename: Stefano
authors.initials: S
authors.lastname: Duodeci
authors.forename: Flavio
authors.initials: F
authors.lastname: Frigo
authors.forename: Giovanni
authors.initials: G
authors.lastname: Migliorini
mesh_terms: D000368:Aged; D015897:Comorbidity; D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000601:surgery*; D004945:Esophagoscopy; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed