A 32-year-old male presented with posterior thoracic pain shortly after choking with
water.
His initial clinical observation was unremarkable.
Blood results showed leukocytosis 21.2000/mm3 and normal C-reactive protein.
Thoracic computed tomography (CT) revealed a small pneumomediastinum originating from
a rupture of the mid-distal left esophageal wall, consistent with Boerhaave syndrome. Broad-spectrum antibiotics were started.
Upper endoscopy showed a 2-centimetre wall defect in the mid-distal esophagus. A self-expandable
fully-covered metallic stent 23x125mm was placed and fixed proximally with metallic
clips.
The patient had a favorable clinical evolution. A CT performed on day 5 showed no
signs of mediastinal air or collections.
Citation: Bordalo Ferreira F, Correia F, Ferreira Cardoso M et al. OP19V BOERHAAVE SYNDROME
TREATMENT WITH A FULLY-COVERED METALLIC STENT. Endoscopy 2021; 53: S11.