Unusual case of Boerhaave syndrome, diagnosed late and successfully treated by Abbott’s T-tube  Mario Santini, MD, Alfonso Fiorello, MD, Salvatore Cappabianca,

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Unusual case of Boerhaave syndrome, diagnosed late and successfully treated by Abbott’s T-tube  Mario Santini, MD, Alfonso Fiorello, MD, Salvatore Cappabianca, MD, Giovanni Vicidomini, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 134, Issue 2, Pages 539-540 (August 2007) DOI: 10.1016/j.jtcvs.2007.04.033 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, CT scan shows contrast extravasation from the esophagus into the right hemithorax with lung compression. B, T-tube is positioned (1), and the chest is closed with multiple tubes in place: in pleural cavity (2, 3), mediastinum (4), and next to the T-tube (5). The Journal of Thoracic and Cardiovascular Surgery 2007 134, 539-540DOI: (10.1016/j.jtcvs.2007.04.033) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Three-dimensional reconstruction of CT scan reveals T-tube localized in the middle right portion of the esophagus just below the azygos vein. The short limb of the T-tube traverses the esophagus, and the large limb exits from the chest. B, Esophagram demonstrates the healing of the tear. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 539-540DOI: (10.1016/j.jtcvs.2007.04.033) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions