Presentation
After supper, vomiting with intense epigastric pain.
Patient Data
Age: 55 years
Gender: Male




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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.
From the case:
Boerhaave syndrome
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Zoomed image of area of oesophageal rupture with pneumomediastinum.
Case Discussion
Surgical report: laceration above a narrowing of the oesophageal mucosa (? achalasia ? chronic oesophagitis). The oesophageal mucosa at the level of the tear is rosy and well vascularised.