Boerhaave’s syndrome in a case of acute exacerbation of chronic obstructive pulmonary disease managed with non-invasive ventilation: a case report

Submitted: April 26, 2023
Accepted: August 3, 2023
Published: August 31, 2023
Abstract Views: 205
PDF: 92
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

  • Roberto Bini Department of Surgery, University of Milan; General Surgery and Trauma Team, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.
  • Simone Frassini simone.frassini01@universitadipavia.it https://orcid.org/0000-0003-1043-7401 Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia; Unit of General Surgery I, Fondazione I.R.C.C.S. Policlinico San Matteo, Pavia, Italy.
  • Diego Fontana Thoracic Surgery Unit, Ospedale San Giovanni Bosco, Turin, Italy.
  • Giuseppe Naretto Intensive Care Unit, Ospedale San Giovanni Bosco, Turin, Italy.
  • Osvaldo Chiara Department of Surgery, University of Milan; General Surgery and Trauma Team, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.

Barotraumatic esophageal rupture (Boerhaave’s syndrome) is a rare and life-threatening disease, described as a Non-Invasive Ventilation (NIV) complication in a very small series. We report the case of a 72-year-old man admitted to the Emergency Department (ED) for severe dyspnea in a Chronic Obstructive Pulmonary Disease (COPD) stage Gold III. After NIV treatment, the patient suffered esophageal perforation with mediastinal and pleural contamination: emergency surgical treatment was successful for the esophageal repair, but the patient developed a fatal septic shock 12 days after surgery. Among NIV complications, few cases concern esophagogastric perforation: our case report describes an uncommon clinical situation treated with a successful damage control surgery approach.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

de Schipper JP, Pull ter Gunne AF, Oostvogel HJM, van Laarhoven CJHM. Spontaneous Rupture of the Oesophagus: Boerhaave’s Syndrome in 2008. Digestive Surgery 2009;26:1-6. DOI: https://doi.org/10.1159/000191283
Patel MS, Chakraborty PU. A case of Boerhaave’s Syndrome presenting after a trial of Non-Invasive Ventilation. Medical Princ Pract 2009;18:155-158. DOI: https://doi.org/10.1159/000189816
CARE. Available from: https://www.care-statement.org
Carron M, Freo U, BaHammam AS, et al. Complications of non-invasive ventilation techniques: a comprehensive qualitative review of randomized trials. Br J Anaesth 2013;110:896-914. DOI: https://doi.org/10.1093/bja/aet070
Derbes VJ, Mitchell RE Jr. Hermann Boerhaave's Atrocis, nec descripti prius, morbi historia, the first translation of the classic case report of rupture of the esophagus, with annotations. Bull Med Libr Assoc 1955;43:217-40.
Salo J, Sihvo E, Kauppi J, Räsänen J. Boerhaave’s Syndrome: lessons learned from 83 cases over three decades. Scand J Surg 2013;102:271-3. DOI: https://doi.org/10.1177/1457496913495338
Brogi E, Gargani L, Bignami E, et al. Thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment. Critical Care 2017;21:325 DOI: https://doi.org/10.1186/s13054-017-1897-5
Van de Louw A, Brocas E, Boiteau R, et al. Esophageal perforation associated with noninvasive ventilation: a care report. Chest 2002;122:1857-1858 DOI: https://doi.org/10.1378/chest.122.5.1857

How to Cite

Bini, R., Frassini, S., Fontana, D., Naretto, G., & Chiara, O. (2023). Boerhaave’s syndrome in a case of acute exacerbation of chronic obstructive pulmonary disease managed with non-invasive ventilation: a case report. Case Reports in Emergency Surgery and Trauma, 1(1). https://doi.org/10.4081/crest.2023.11