Spontaneous Rupture Of The Esophagus - Boerhaave's Syndrome [ruptura Espontânea Do Esôfago - Síndrome De Boerhaave]

Boerhaave's syndrome, the spontaneous rupture of the esophagus, is associated with a 35% death rate. Perforated esophagus is a surgical emergency; it is the most serious, and frequently the most rapidly lethal, perforation of the gastro-intestinal tract. Three cases of Boerhaave's syndrome are presented, with their variants and resolutions. Treatment and outcome are largely determined by the time of presentation. We reviewed our experience with esophageal perforations to determine the overall mortality and whether the time of presentation should influence management strategy.3918384Albert, B., Lowenfels, M.D., Famous patients, famous operations, 2002-Part 1: The case of the aristocrat with indigestion (2002) Medscape Surgery [online], 4 (1). , http://www.medscape.com/viewarticle/424817, Disponível emCurci, J.J., Horman, M.J., Boerhaave's syndrome: The importance of early diagnosis and treatment (1976) Ann Surg., 183 (4), pp. 401-408Vallböhmer, D., Hölscher, A.H., Hölscher, M., Bludau, M., Gutschow, C., Stippel, D., Options in the management of esophageal perforation: Analysis over a 12-year period (2010) Dis Esophageus., 23 (3), pp. 185-190Liebermann-Meffert, D., Brauer, R.B., Stein, H.J., Boerhaave's syndrome: The man behind the syndrome (1997) Dis Esophagus., 10 (2), pp. 77-85de Schipper, J.P., ter Gunne, P.A.F., Oostvogel, H.J., van Laarhoven, C.J., Spontaneous rupture of the oesophagus: Boerhaave's syndrome in 2008. Literature review and treatment algorithm (2009) Diag Surg., 26 (1), pp. 1-