Boerhaave syndrome

Discussion:

Boerhaave syndrome is perforation of the esophagus caused by forceful vomiting because of increasing intra-oesophagal pressure combined with relatively negative intra-thoracic pressure.

This syndrome is associated with Mackler's triad (vomiting, chest pain, and subcutaneous emphysema). 

Chest x-ray and CT chest help to confirm the diagnosis of Boerhaave syndrome and should be considered immediately in suspected patients.

Special thanks to professor Anuchit Ruamthanthong.

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