Abrupt Severe Chest Pain and Vomiting: Remember to Think of a Ruptured Oesophagus (Boerhaave Syndrome)

Boerhaave syndrome or spontaneous rupture of the oesophagus is a severe condition commonly misdiagnosed or unrecognized. Prognosis is poor even if the diagnosis is made promptly. We describe a case of Boerhaave syndrome diagnosed after the development of pneumomediastinum and cardiac arrest. Unfortu...

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Main Authors: Deeba Ali, Arnaud Detroz, Yilmaz Gorur, Lionel Bosquee, Benoît Cardos, Carla Cobanoiu, Noel Lorenzo Villalba
Format: Article
Language:English
Published: SMC MEDIA SRL 2019-10-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/1265
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author Deeba Ali
Arnaud Detroz
Yilmaz Gorur
Lionel Bosquee
Benoît Cardos
Carla Cobanoiu
Noel Lorenzo Villalba
author_facet Deeba Ali
Arnaud Detroz
Yilmaz Gorur
Lionel Bosquee
Benoît Cardos
Carla Cobanoiu
Noel Lorenzo Villalba
author_sort Deeba Ali
collection DOAJ
description Boerhaave syndrome or spontaneous rupture of the oesophagus is a severe condition commonly misdiagnosed or unrecognized. Prognosis is poor even if the diagnosis is made promptly. We describe a case of Boerhaave syndrome diagnosed after the development of pneumomediastinum and cardiac arrest. Unfortunately, the patient died 48 hours after admission to the Intensive Care Unit. This entity requires a multidisciplinary management approach which may include conservative, surgical or endoscopic procedures.
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spelling doaj.art-ac0b1d90bb6a42efb10bcd529eb55ca32022-12-22T02:34:04ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942019-10-0110.12890/2019_0012651265Abrupt Severe Chest Pain and Vomiting: Remember to Think of a Ruptured Oesophagus (Boerhaave Syndrome)Deeba Ali0Arnaud Detroz1Yilmaz Gorur2Lionel Bosquee3Benoît Cardos4Carla Cobanoiu5Noel Lorenzo Villalba6Service des Urgences, CHU Sart Tilman, Liège, BelgiumService des Urgences, CHU Sart Tilman, Liège, BelgiumService de Radiologie, CHU Sart Tilman, Liège, BelgiumService de Pneumologie, Clinique André Renard, Herstal, BelgiumDépartement des Sciences de la Santé Publique, Université de Liège, Liège, BelgiumService de Neurologie, CHC Saint-joseph, Liège, BelgiumService de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, FranceBoerhaave syndrome or spontaneous rupture of the oesophagus is a severe condition commonly misdiagnosed or unrecognized. Prognosis is poor even if the diagnosis is made promptly. We describe a case of Boerhaave syndrome diagnosed after the development of pneumomediastinum and cardiac arrest. Unfortunately, the patient died 48 hours after admission to the Intensive Care Unit. This entity requires a multidisciplinary management approach which may include conservative, surgical or endoscopic procedures.https://www.ejcrim.com/index.php/EJCRIM/article/view/1265boerhaave syndromepneumomediastinumconservativesurgicalendoscopic
spellingShingle Deeba Ali
Arnaud Detroz
Yilmaz Gorur
Lionel Bosquee
Benoît Cardos
Carla Cobanoiu
Noel Lorenzo Villalba
Abrupt Severe Chest Pain and Vomiting: Remember to Think of a Ruptured Oesophagus (Boerhaave Syndrome)
European Journal of Case Reports in Internal Medicine
boerhaave syndrome
pneumomediastinum
conservative
surgical
endoscopic
title Abrupt Severe Chest Pain and Vomiting: Remember to Think of a Ruptured Oesophagus (Boerhaave Syndrome)
title_full Abrupt Severe Chest Pain and Vomiting: Remember to Think of a Ruptured Oesophagus (Boerhaave Syndrome)
title_fullStr Abrupt Severe Chest Pain and Vomiting: Remember to Think of a Ruptured Oesophagus (Boerhaave Syndrome)
title_full_unstemmed Abrupt Severe Chest Pain and Vomiting: Remember to Think of a Ruptured Oesophagus (Boerhaave Syndrome)
title_short Abrupt Severe Chest Pain and Vomiting: Remember to Think of a Ruptured Oesophagus (Boerhaave Syndrome)
title_sort abrupt severe chest pain and vomiting remember to think of a ruptured oesophagus boerhaave syndrome
topic boerhaave syndrome
pneumomediastinum
conservative
surgical
endoscopic
url https://www.ejcrim.com/index.php/EJCRIM/article/view/1265
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