Laparoscopic treatment of Boerhaave syndrome. Case report

Background. Spontaneous rupture of the esophagus (Burhave syndrome) is a rare pathology and emergency condition for the patient. With the diversity of the clinical view, this pathology is usually diagnosed out of time, over 24 hours, and therefore the postoperative mortality remains high. The group of authors provides a clinical case: patient, 60 years old, on the 6th day of the disease falls into the clinic, where a spontaneous rupture of the esophagus is diagnosed. Given the severe physical status of the patient, as well as the size and location of the perforation hole, it was decided to go for a laparoscopic surgery. Sanitation and drainage of the mediastinum, suturing of the perforation hole were performed. After the operation, а positive response to treatment was observed. In the postoperative period, right-sided pneumonia was diagnosed, which required a change in the antibacterial drug. The patient was discharged in satisfactory condition on day 29. A group of authors believes that a minimally invasive approach to the treatment of spontaneous esophageal rupture is the alternative method for patients with severe somatic status and a small perforated opening of the esophagus.