Perforation of a Esophageal Carcinoma after the procedure with hydrostatic balloon dilation (9 of 12)

Surgery of Squamous Cell Carcinoma of the upper third of the Esophagus. Surgical, primary closure, broad-spectrum antibiotics were administered, due to the early care, the evolution of the patient was excellent without mediastinitis. In 1724, Dr Hermann Boerhaave described the first, and likely most well known, case of esophageal perforation. Baron von Wassenaer, the Grand Admiral of Holland, followed a large meal with his customary bout of emetic -induced vomiting. However, on this occasion, the Admiral experienced a sudden and severe pain in his upper abdomen after violent but minimally productive retching. Dead less than 24 hours later, his autopsy revealed a transverse tear of his distal esophagus and gastric contents in the pleural spaces. Spontaneous esophageal rupture is a rare and dangerous entity, which today is commonly known as Boerhaave Syndrome.