Abstract

MOJICA, Olman Esteban et al. Boerhaave syndrome concomitant to COVID-19 pneumonia: management with combined surgical therapy. Case report. Medicas UIS [online]. 2024, vol.37, n.1, pp.147-155.  Epub Mar 30, 2024. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v37n1-2024012.

Boerhaave's syndrome is a rare pathology with a mortality rate of 30-50 %. It consists of a spontaneous transmural tear of the esophagus secondary to a sudden increase in intraluminal esophageal pressure, which in only two reports in the literature has been causally associated with SARS-CoV-2 infection. We present the case of a 68-year-old male patient with a sudden onset clinical picture consisting of abundant episodes of emesis who subsequently presented respiratory deterioration associated with subcutaneous emphysema in the right hemithorax. Pneumonia due to SARS-CoV-2 and Boerhaave's Syndrome was documented, so he was taken to esophagography, and given the torpid post-surgical evolution, endoluminal vacuum therapy was indicated with favorable progress after 4 months of follow-up. This pathology represents a diagnostic challenge due to its nonspecific clinical presentation, so the delay in recognition will directly impact the therapeutic approach and prognosis.

Keywords : COVID-19. Esophageal perforation; Boerhaave Syndrome; Mediastinitis; Mediastinal Diseases; Subcutaneous Emphysema; Self Expandable Metallic Stents.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )