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

  • Deeba Ali Service des Urgences, CHU Sart Tilman, Liège, Belgium
  • Arnaud Detroz Service des Urgences, CHU Sart Tilman, Liège, Belgium
  • Yilmaz Gorur Service de Radiologie, CHU Sart Tilman, Liège, Belgium
  • Lionel Bosquee Service de Pneumologie, Clinique André Renard, Herstal, Belgium
  • Benoît Cardos Département des Sciences de la Santé Publique, Université de Liège, Liège, Belgium
  • Carla Cobanoiu Service de Neurologie, CHC Saint-joseph, Liège, Belgium
  • Noel Lorenzo Villalba Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
DOI: https://doi.org/10.12890/2019_001265

Keywords

Boerhaave syndrome, pneumomediastinum, conservative, surgical, endoscopic

Abstract

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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    • Published: 2019-10-04

    Issue: Vol 6 No 10 (view)

    Section: Articles

    How to cite:
    1.
    Ali D, Detroz A, Gorur Y, Bosquee L, Cardos B, Cobanoiu C, Lorenzo Villalba N. Abrupt Severe Chest Pain and Vomiting: Remember to Think of a Ruptured Oesophagus (Boerhaave Syndrome). EJCRIM 2019;6 doi:10.12890/2019_001265.

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