metricas
covid
Buscar en
Cirugía Española (English Edition)
Toda la web
Inicio Cirugía Española (English Edition) Boerhaave Syndrome Presenting as Gastric Emphysema
Información de la revista
Vol. 97. Núm. 4.
Páginas 231 (abril 2019)
Vol. 97. Núm. 4.
Páginas 231 (abril 2019)
Image of the month
Acceso a texto completo
Boerhaave Syndrome Presenting as Gastric Emphysema
Enfisema gástrico como presentación de síndrome de Boerhaave
Visitas
1635
Patricia Ciriano Hernández
Autor para correspondencia
, Irene Grao Torrente, Elena Viejo Martínez, Fernando Turégano Fuentes
Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario Gregorio Marañón, Madrid, Spain
Este artículo ha recibido
Información del artículo
Texto completo
Descargar PDF
Estadísticas
Figuras (3)
Mostrar másMostrar menos
Texto completo

A 77-year-old male with a history of chronic alcoholism came to our emergency room due to hypogastric pain that had progressed over the previous 12h following several episodes of vomiting.

Laboratory analyses showed no alterations. However, the physical examination revealed generalized abdominal guarding and pain in the hypogastrium.

Abdominal CT scan demonstrated pneumatosis in the gastric wall extending to the distal esophagus, suggestive of emphysematous gastritis, and free fluid in the rectovesical pouch (Figs. 1 and 2).

Fig. 1
(0.03MB).
Fig. 2
(0.04MB).

Given this finding, emergency laparotomy was performed, during which a 2cm perforation was found on the right anterolateral side of the distal esophagus with dissection of the wall by air. Sutures and a Dor fundoplication were carried out (Fig. 3).

Fig. 3
(0.05MB).

After adequate progress while the patient was on the hospital ward, including initiation of oral intake and completion of antibiotic treatment, the patient was discharged 2 weeks after surgery.

Please cite this article as: Ciriano Hernández P, Grao Torrente I, Viejo Martínez E, Turégano Fuentes F. Enfisema gástrico como presentación de síndrome de Boerhaave. Cir Esp. 2019;97:231.

Copyright © 2018. AEC
Descargar PDF
Opciones de artículo
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos