Boerhaave's syndrome - a difficult differential diagnosis of

Kardiol Pol · Sep 2010

Case Reports

Boerhaave's syndrome - a difficult differential diagnosis of chest pain.

Boerhaave's syndrome is a very rare disease characterised by a spontaneous rupture of the oesophagus. It is often misdiagnosed and there is no consensus as to the best treatment. ⋯ Despite objective and laboratory tests negative for chest pain screening, computed tomography showed the presence of mediastinal air and pneumothorax consistent with oesophagus rupture. Urgent surgical intervention saved the patient.

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- Gregoriana Zanini, Alessandra Pelati, Marco Racheli, Adriana Virgillo, Monica Bortolotti, and Gian Franco Pasini.
- Ospedale di Gavardo, U.O. di Cardiologia, Via Gosa, Gavardo, Brescia, Italy. gregoriana77@libero.it
- Kardiol Pol. 2010 Sep 1;68(9):1040-2.
AbstractBoerhaave's syndrome is a very rare disease characterised by a spontaneous rupture of the oesophagus. It is often misdiagnosed and there is no consensus as to the best treatment. We describe a case of a 61 year-old man without significant previous medical history presenting in the emergency room with acute chest and back pain. Despite objective and laboratory tests negative for chest pain screening, computed tomography showed the presence of mediastinal air and pneumothorax consistent with oesophagus rupture. Urgent surgical intervention saved the patient.

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Boerhaave's syndrome - a difficult differential diagnosis of chest pain.

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