Boerhaave syndrome

Case contributed by Dr Domenico Nicoletti

Presentation

After supper, vomiting with intense epigastric pain.

Patient Data

Age: 55
Gender: Male
CT

Large tear in the thoracic esophagus in the anterior left side, about 3-4 cm from the cardia with evidence of mediastinal collection, and pneumomediastinum.

CT

Zoomed image of area of esophageal rupture with pneumomediastinum. 

Case Discussion

Surgical report: laceration above a narrowing of the esophageal mucosa (? achalasia ? chronic esophagitis). The esophageal mucosa at the level of the tear is rosy and well vascularized.

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Case information

rID: 38518
Published: 22nd Jul 2015
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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