Boerhaave’s syndrome : successful conservative treatment in two patients
|Journal||Volume 83 - 2020|
|Issue||Fasc.4 - Case series|
|Author(s)||M.Truyens 1, E. Hufkens 2, B. Van Geluwe 3, P. Vergauwe 4, W. Van Moerkercke 5|
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(1) Department of Gastroenterology, UZ Gent, Corneel Heymanslaan 10, 9000 Ghent and IBD research unit, Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium
(2) Department of Gastroenterology UZ Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium
(3) Department of Abdominal Surgery, AZ Groeninge, President Kennedylaan 4, 8500 Kortrijk, Belgium
(4) Department of Gastroenterology, AZ Groeninge, President Kennedylaan 4, 8500 Kortrijk, Belgium
(5) Department of Gastroenterology UZ Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium and Department of Gastroenterology, AZ Groeninge, President Kennedylaan 4, 8500 Kortrijk, Belgium..
The Boerhaave syndrome is a spontaneous, post-emetic rupture of the esophagus and a rare but potentially fatal cause of upper gastrointestinal bleeding. There are currently no guidelines on the optimal treatment of these patients, although there is a strong tendency towards a surgical approach. We present 2 cases of male patients, 66- and 77-year old respectively, both admitted to the emergency department with hematemesis. Unexpectedly, these turned out to be caused by the Boerhaave syndrome. Based on the severity of presentation, either a conservative or endoscopic treatment was adopted, both with good outcome.
Keywords: Boerhaave’s syndrome, conservative, endoscopy.
|The authors declare that they have no conflict of interest.|
© Acta Gastro-Enterologica Belgica.