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  • Title: [Spontaneous esophageal perforation--a case report and review].
    Author: Obretenov E, Popkharitov A, Dimov G.
    Journal: Khirurgiia (Sofiia); 2003; 59(6):40-4. PubMed ID: 15641561.
    Abstract:
    The quick diagnosis is decisive for the outcome of the treatment of patients with esophageal perforation because of the serious complications--mediastinitis, empyema and sepsis. These are the main causes for the high mortality of up to 60 per cent of the patients with esophageal perforation. The difficulties for the particular operative tactics rise from the late diagnosis. These are the most problematic moments of the spontaneous esophageal perforation (Boerhaave's syndrome) management. A review of the clinical signs, the complications, the diagnostics and the successful operative treatment on a patient with Boerhaave's syndrome performed on the 10th day after the incident is presented.
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