Boerhaave syndrome

Case contributed by Dr Domenico Nicoletti


After supper, vomiting with intense epigastric pain.

Patient Data

Age: 55
Gender: Male

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


Zoomed image of area of oesophageal 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.

PlayAdd to Share

Case information

rID: 38518
Case created: 22nd Jul 2015
Last edited: 30th Dec 2016
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.