Boerhaave syndrome

Case contributed by RMH Core Conditions

Presentation

Emanciated, loss of weight, right apex opacity on chest x-ray? TB? occult malignancy?

Patient Data

Age: 80
Gender: Female
CT

Extensive pneumomediastinum and fluid in the mediastinum. Proximal oesophagus is air-filled and distended to the level of T7 and after this it is largely collapsed. Moderate sized bilateral pleural effusions and a small right apical pneumothorax. Severe centrilobular emphysema. 

Case Discussion

Boerhaave syndrome is spontaneous oesophageal rupture from forceful vomiting. After initialy concerns for the pneumomediastinum secondary to perforation oesophageal malignancy, this case was given the clinical diagnosis of Boerhaave syndrome. 

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Case information

rID: 26240
Case created: 8th Dec 2013
Last edited: 22nd Feb 2016
Inclusion in quiz mode: Included

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