Surgery for Boerhaave’s syndrome with esophageal varices: report of a case

Boerhaave’s syndrome is a critical condition. When it occurs in a patient with liver cirrhosis and esophageal varices, management will be difficult. We report a case of Boerhaave’s syndrome with liver cirrhosis and esophageal varices. The patient underwent an operation that comprised an esophageal exclusion with gastric tube reconstruction and a modified Sugiura procedure. This combined procedure may be an alternative, practicable approach for the treatment of esophageal perforation and the primary prophylaxis for variceal bleeding.