Incomplete Boerhaave-Syndrome…

 Shared by a Gastroenterologist in Germany

A physician shares a patient case about a young man (44 y. old, chronic alcohol abuser) presenting with haematemesis and haematochezie. The EGD revealed an incomplete Boerhaave syndrome by intraluminal barotrauma (explosive vomiting). The computed tomography showed no mediastinal emphysema and no mediastinitis. The defect was 10 cm long.

The physician asks the Sermo community what they would have done in this case: Clipping? Vacuum sponge therapy? Stent?

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