ENTRY-AND-EXIT DOUBLE PIG-TAIL DRAINAGE AS SALVAGE OF INEFFECTIVE PRIMARY CLOSURE AND STANDARD DRAINAGE IN BOERHAAVE SYNDROME

Introduction Primary closure and drainage are management principles of Boerhaave Syndrome (BS). We present a combination of double pig-tail drainage and intraluminal lumen-apposing-metal-stent (LAMS) in a BS patient.

Case presentation Male with BS, at EGD esophageal tear is seen at the GE junction. A week later EUS-guided mediastinal drainage is performed, and two weeks later, a dual approach is performed at EGD by combining entry-and-exit double pigtail drainage with LAMS placement across the GE junction.The patient started oral feeding the following day.

Conclusions Failed primary endoscopic closure and standard EUS-guided pig-tail drainage were salvaged with pig-tail drainage combined with intraluminal LAMS.