SPONTANEOUS RUPTURE OF THE ESOPHAGUS, POSTERIOR PURULENT MEDIASTINITIS, LEFT-SIDED PLEURAL EMPYEMA IN COMBINATION WITH TWO PERFORATED DUODENAL ULCERS, DIFFUSE BILE PERITONITIS, АND RETROPERITONEAL PHLEGMON
Abstract
ABSTRACT. According to most researchers, spontaneous rupture of the esophagus (SRE) occurs relatively rarely, ranging from 1.7% to 17.5% of all cases of damage to the esophagus. Today, there is no one categorical opinion on the effectiveness of various treatments for SRE among surgeons, there are no uniform algorithms for diagnosis and evaluation of the treatment. SRE is a real threat to the life of a patient: SRE mortality rate is up to 75% in the prehospital period and up to 25%-85% in the postoperative period, and depends on the time interval between the rupture of the esophageal wall and the surgery, as well as complications.
About the Authors
A. N. Pogodina
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
K. M. Rabadanov
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
References
1. Демченко П.С., Посудевский С.С., Науменко В.Н. Диагностика и лечение спонтанных разрывов пищевода // Клиническая хирургия. – 1989. – № 10. – С. 44–45. Demchenko P.S., Posudevskiy S.S., Naumenko V.N. Diagnostika i lechenie spontannykh razryvov pishchevoda [Diagnosis and treatment of spontaneous rupture of the esophagus]. Klinicheskaya khirurgiya. 1989; 10: 44–45. (In Russian).
2. Погодина А.Н. Спонтанные и гидравлические разрывы пищевода // Научно-медицинский вестник Центрального Черноземья. – 2007. – № 29. – С. 59–62. Pogodina A.N. Spontannye i gidravlicheskie razryvy pishchevoda [Spontaneous esophageal and hydraulic fracturing]. Nauchnomeditsinskiy vestnik Tsentral’nogo Chernozem’ya. 2007; 29: 59–62. (In Russian).
3. Passos Filho O., Cangussu H.C., Lopes R.H., et al. Boerhaave’s syndrome: case report // Rev. Col. Bras. Cir. – 2013. – Vol. 40, N. 1. – P. 83–84.
4. Абакумов М.М., Погодина А.Н. Неотложная хирургия пищевода // Хирургия. – 1992. – № 4. – С. 3–8. Abakumov M.M., Pogodina A.N. Neotlozhnaya khirurgiya pishchevoda [Emergency surgery of the esophagus]. Khirurgiya. 1992; 4: 3–8. (In Russian).
5. Погодина А.Н., Абакумов М.М. Механические проникающие повреждения пищевода // Хирургия. – 1998. – № 10. – С. 20–24. Pogodina A.N., Abakumov M.M. Mekhanicheskie pronikayushchie povrezhdeniya pishchevoda. Khirurgiya. 1998; 10: 20–24.(In Russian).
6. Lucendo A.J., Friginal-Ruiz B.R., Rodriques B. Boerhaave’s syndrome as the primary manifestation of adult eosinophilic esophagitis. Two case reports and a review of the literature // Dis. Esophagus. – 2011. – Vol. 24, N. 2. – E11–15.
7. Абакумов М.М. Гнойный медиастинит // Хирургия. – 2004. – № 5. – С. 82–85. Abakumov M.M. Gnoynyy mediastinit [Purulent mediastinitis]. Khirurgiya. 2004; 5: 82–85. (In Russian).
8. Завгороднев С.В., Корниенко В.И., Пашков В.Г. и др. Спонтанный разрыв грудного отдела пищевода, осложненный гнойным медиастинитом, двусторонним гидропневмотораксом, эмпиемой плевры и бронхиальным свищом // Хирургия. – 2007. – № 4. – С. 54–56. Zavgorodnev S.V., Kornienko V.I., Pashkov V.G., et al. Spontannyy razryv grudnogo otdela pishchevoda, oslozhnennyy gnoynym mediastinitom, dvustoronnim gidropnevmotoraksom, empiemoy plevry i bronkhial’nym svishchom [Spontaneous rupture of the thoracic esophagus complicated by purulent mediastinitis, bilateral hydropneumothorax, pleural empyema and bronchial fistulas]. Khirurgiya. 2007; 4: 54–56. (In Russian).
9. Комаров Б.Д., Каншин Н.Н., Абакумов М.М. Повреждения пищевода. – М.: Медицина, 1981. – 176 с. Komarov B.D., Kanshin N.N., Abakumov M.M. Povrezhdeniya pishchevoda [Damage to the esophagus]. Moscow: Meditsina Publ., 1981.176 p. (In Russian).
10. Emmanouilidis N., Jager M.D., Winkler M., Klempnauer J. Boerhaave syndrome as a complication of colonoscopy preparation: a case repot // J. Med. Case Rep. – 2011. – Vol. 5. – P. 544.
11. Lin W.C., Chen J.D., Tiu C.M., et al. Boerhaave syndrome with atypical clinical presentations diagnosed by computed tomography // Zhonghua Yi Xue Za Zhi (Taipei). – 2002. – Vol. 65, N. 1. – P. 45–48.
12. Погодина А.Н. Клиника, диагностика и лечение повреждений пищевода и их последствий: дис. … д-ра мед. наук. – М., 1989. – 439 с. Pogodina A.N. Klinika, diagnostika i lechenie povrezhdeniy pishchevoda i ikh posledstviy : dis. … d-ra med. nauk [The clinic, diagnosis and treatment of lesions of the esophagus and their consequences.Dr. med. sci. diss.] Moscow, 1989. 439 p. (In Russian).
13. Eroglu A., Kurkcuoglu C., Karaoglanoglu N., et al. Spontaneous esophageal rupture following severe vomiting en pregnancy // Dis. Esophagus. – 2002. – Vol. 15, N. 3. – P. 242–243.
Review
For citations:
Pogodina A.N., Rabadanov K.M. SPONTANEOUS RUPTURE OF THE ESOPHAGUS, POSTERIOR PURULENT MEDIASTINITIS, LEFT-SIDED PLEURAL EMPYEMA IN COMBINATION WITH TWO PERFORATED DUODENAL ULCERS, DIFFUSE BILE PERITONITIS, АND RETROPERITONEAL PHLEGMON. Russian Sklifosovsky Journal "Emergency Medical Care". 2015;(1):44-46.
Views:
909
Email this article 