Abstract
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.
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