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

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: LATEST ONLINE (view)

    Section: Articles

    How to cite:
    Ali, D., Detroz, A., Gorur, Y., Bosquee, L., Cardos, B., Cobanoiu, C., & Lorenzo Villalba, N. (2019). Abrupt Severe Chest Pain and Vomiting: Remember to Think of a Ruptured Oesophagus (Boerhaave Syndrome). European Journal of Case Reports in Internal Medicine, 2. https://doi.org/https://doi.org/10.12890/2019_001265

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