Boerhaave syndrome

Case contributed by Dr Brendon Friesen

Presentation

Hypotensive. No history of trauma. Vomiting.

Patient Data

Age: 40 years
Gender: Male

Small right pneumothorax.

Right pleural effusion.

Apparent right medial basal collapse/consolidation.

Extensive pneumomediastinum, centered around the distal esophagus.

Very large right pleural effusion, with some dependent hyperdense material (oral contrast - omnipaque).

Right sided pneumothorax.

Small left pleural effusion.

Post-operative Gastrografin esophogram. T-tube in-situ. No contrast leak.

Case Discussion

Boerhaave syndrome.

This patient had a right sided esophageal tear.

(Most cases are left sided).

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