A successful nonsurgical management of Boerhaave’s syndrome

Abstract

Boerhaave’s syndrome consists of barogenic rupture of the esophagus, in a previously healthy esophagus. This is a rare, serious, and rapidly lethal perforation of the gastrointestinal tract. The outcome essentially depends on early diagnosis and prompt intervention. Due to the scarcity of case reports, no clear consensus exists regarding the best therapeutic approach. Surgical intervention has been mainstay of management, but with advances in therapeutic endoscopy, there has been an increasing interest in nonsurgical options. Here, we report a case of Boerhaave’s syndrome in a 40‑year‑old male patient, diagnosed early and successfully treated nonsurgically with temporary placement of fully covered esophageal stent.