Boerhaave's syndrome: successful treatment of spontaneous rupture of the esophagus. A clinical case report

This article describes the successful management of a patient with spontaneous esophageal rupture (Boerhaave’s syndrome). Boerhaave’s syndrome is a relatively rare but life-threatening condition in surgical practice, and challenges in both diagnosis and treatment remain unresolved. In the presented case, considering the size of the esophageal defect and the delayed presentation after injury, primary repair of the rupture was performed. To reinforce the repair and provide peritonization, a Nissen fundoplication was carried out, followed by the creation of a gastrostomy using the Toprover – Kader technique. The outcome of this non-standard surgical approach was favorable, demonstrating the effectiveness of the chosen treatment strategy.

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