https://doi.org/10.4081/crest.2023.11

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

Vol. 1 No. 1 (2023)
Submitted: April 26, 2023
Accepted: August 3, 2023
Published: August 31, 2023
Boerhaave’s syndrome, non-invasive ventilation, barotraumatic perforation, emergency surgery
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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.

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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
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