Introduction:

Boerhaave syndrome consists of a spontaneous perforation of the esophagus, with high mortality.

Objective:

To describe a case with Boerhaave syndrome with double esophageal perforation.

Case report:

33-year-old female who came to the hospital for emetic symptoms, followed by retrosternal chest pain; chest drainage is performed. Esophageal perforation was diagnosed late and he was transferred to a tertiary level institution. Successive treatments were performed: videothoracoscopy and pleural decortication; alimentary jejunostomy; esophageal stent placement, diagnosis of new perforation, pyloric exclusion, new stent placement, and esophageal exclusion.

Conclusions:

The delay in diagnosis contributed to the fatal outcome of the patient.

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