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- Title
Mediastinitis and septic shock complicating spontaneous esophageal rupture "Boerhaave's syndrome": a case report.
- Authors
Kortli, Said; Andrianjafy, Hery
- Abstract
Boerhaave's syndrome, also known as spontaneous esophageal rupture, is a rare but life-threatening condition characterized by a tear in the esophagus. It is most commonly caused by a sudden increase in intraesophageal pressure, often due to severe vomiting or retching. Early diagnosis of Boerhaave's syndrome is crucial for improving patient outcomes. The classic triad of symptoms includes severe chest pain, vomiting, and subcutaneous emphysema (air under the skin). However, not all patients present with this triad, and the diagnosis can be challenging, especially in patients without the typical symptoms. In this case report, we present the clinical details of a 52-year-old male patient who presented to the emergency department (ED) with severe abdominal pain and vomiting for several days. The patient had a history of chronic alcohol abuse and a recent episode of vigorous vomiting.
- Subjects
RISK assessment; MEDIASTINITIS; BOERHAAVE'S syndrome; CHEST pain; ABDOMINAL pain; PULMONARY emphysema; DECOMPRESSION sickness; SEPTIC shock; VOMITING; EARLY diagnosis; HEALTH outcome assessment; ESOPHAGUS diseases; DISEASE risk factors; DISEASE complications; SYMPTOMS
- Publication
International Journal of Emergency Medicine, 2024, Vol 17, Issue 1, p1
- ISSN
1865-1372
- Publication type
Article
- DOI
10.1186/s12245-024-00642-0