'Diagnosis of Boerhaave's Syndrome With Aid of Bedside

J Emerg Med · Nov 2021

Case Reports

'Diagnosis of Boerhaave's Syndrome With Aid of Bedside Ultrasound.

Boerhaave's syndrome is characterized by transmural rupture of the distal esophagus in the setting of increased intraluminal pressures combined with negative intrathoracic pressure. It is a rare condition with high mortality (20-50% mortality rate). ⋯ This is a case of a 47-year-old man who appeared acutely ill, presenting with shortness of breath, chest and abdominal pain, and diagnosed with Boerhaave's syndrome with the assistance of bedside ultrasound. WHY SHOULD AN EMERGENCY PHYSICIANS BE AWARE OF THIS?: Emergency physicians must have a heightened suspicion of this diagnosis in patients presenting with chest and abdominal pain and can use bedside ultrasound skills to aid with diagnosis.

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- Naillid Felipe, Samantha A King, and Alexis Salerno.
- Department of Emergency Medicine, University of Maryland Medical Center, Baltimore, Maryland.
- J Emerg Med. 2021 Nov 1; 61 (5): 568-573.
BackgroundBoerhaave's syndrome is characterized by transmural rupture of the distal esophagus in the setting of increased intraluminal pressures combined with negative intrathoracic pressure. It is a rare condition with high mortality (20-50% mortality rate).Case ReportThis is a case of a 47-year-old man who appeared acutely ill, presenting with shortness of breath, chest and abdominal pain, and diagnosed with Boerhaave's syndrome with the assistance of bedside ultrasound. WHY SHOULD AN EMERGENCY PHYSICIANS BE AWARE OF THIS?: Emergency physicians must have a heightened suspicion of this diagnosis in patients presenting with chest and abdominal pain and can use bedside ultrasound skills to aid with diagnosis.Copyright © 2021 Elsevier Inc. All rights reserved.

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