Boerhaave syndrome natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Natural History
With the exception of few case reports describing survival without surgery, the mortality rate of untreated Boerhaave syndrome is nearly 100%.[1]
Complications
- Pneumomediastinum
- Mediastinitis (air or inflammation of the mediastinum)
- Sepsis
- Posterior mediastinal abscess[2]
Prognosis
Boerhaave's syndrome has a high mortality rate (14-40%).The nonspecific clinical signs contributes to the poor outcome of Boerhaave syndrome. [3][4]
References
- ↑ Boerhaave syndrome at eMedicine
- ↑ Ahmad R, Ishlah W, Shaharudin MH, Sathananthar KS, Norie A (2008). "Posterior mediastinal abscess secondary to esophageal perforation following fish bone ingestion". Med. J. Malaysia. 63 (2): 162–3. PMID 18942310.
- ↑ Haveman JW, Nieuwenhuijs VB, Kobold JP, van Dam GM, Plukker JT, Hofker HS (2011). "Adequate debridement and drainage of the mediastinum using open thoracotomy or video-assisted thoracoscopic surgery for Boerhaave's syndrome". Surg Endosc. 25 (8): 2492–7. doi:10.1007/s00464-011-1571-y. PMC 3142333. PMID 21359901.
- ↑ Lu H, Carron PN, Godat S, Pittet R (2018). "[Boerhaave syndrome: update on physiopathology, diagnosis and early management]". Rev Med Suisse (in French). 14 (592): 299–303. PMID 29384279.