425 results match your criteria Boerhaave Syndrome


Boerhaave Syndrome: A Report of Two Cases and Literature Review.

Cureus 2022 May 23;14(5):e25241. Epub 2022 May 23.

Internal Medicine, AdventHealth Orlando, Orlando, USA.

Boerhaave's syndrome is a rare yet serious condition associated with high mortality and morbidity. Diagnosis of this syndrome is usually done with the aid of imaging and prompt management should be initiated to improve the outcomes. Treatment for this syndrome has been mainly surgical since its discovery by Herman Boerhaave; however, multiple endoscopic approaches have been successfully used recently with the advancement of this field. Read More

View Article and Full-Text PDF

Boerhaave Syndrome: An Unexpected Complication of Diabetic Ketoacidosis.

Cureus 2022 May 24;14(5):e25279. Epub 2022 May 24.

Gastroenterology, Ascension Genesys Hospital, Grand Blanc, USA.

Boerhaave syndrome (BS) is a rare gastrointestinal condition related to esophageal rupture that carries a high mortality rate without prompt medical attention. BS is commonly associated with repeated episodes of severe retching, straining, or vomiting. Diabetic ketoacidosis (DKA), a serious acute complication of diabetes, is characterized in part by laboratory findings of profound hyperglycemia and ketoacidosis. Read More

View Article and Full-Text PDF

Prolonged Emesis Causing Esophageal Perforation: A Case Report.

Cureus 2022 May 4;14(5):e24720. Epub 2022 May 4.

Radiology, University of Illinois at Chicago, Peoria, USA.

Transmural esophageal rupture or Boerhaave syndrome carries a high mortality rate due to delayed diagnosis and treatment. The heterogeneity of symptoms, age, comorbidities, and the severity of illness in this group of patients add to the difficulty of the management of Boerhaave syndrome. It generally occurs in the distal part of the esophagus and may result in the leakage of gastric contents into the thoracic cavity leading to mediastinal necrosis and bacterial infection. Read More

View Article and Full-Text PDF

Above and Below the Diaphragm: A Previously Undescribed Case of Recurrent Boerhaave Syndrome Diagnosed With Computerized Tomography Esophagram.

Cureus 2022 Apr 10;14(4):e24015. Epub 2022 Apr 10.

Surgery, Texas Tech University Health Sciences Center, Lubbock, USA.

Boerhaave syndrome, defined as a spontaneous rupture of the esophagus, is an uncommon clinical entity. Recurrent spontaneous rupture of the esophagus is even rarer and has only been described in a handful of case reports. The rupture most often occurs in the thoracic esophagus. Read More

View Article and Full-Text PDF

Does the Pittsburgh Severity Score Predict Patients' Outcomes in Benign Esophageal Perforations?

J Gastrointest Surg 2022 Feb 28. Epub 2022 Feb 28.

Department of Biomedical Sciences for Health, Division of General and Foregut Surgery, IRCCS Policlinico San Donato, University of Milan, Milan, Italy.

View Article and Full-Text PDF
February 2022

Outcomes after hybrid minimally invasive treatment of Boerhaave syndrome: a single-institution experience.

Acta Chir Belg 2022 Jan 19:1-6. Epub 2022 Jan 19.

Department of Surgery, Zuyderland Medical Center, Heerlen, Sittard, The Netherlands.

Background: Spontaneous esophageal perforation or Boerhaave syndrome is a life-threatening emergency, associated with significant morbidity and mortality. In this retrospective series we describe our single-center experience with a hybrid minimally invasive treatment approach for the treatment of Boerhaave syndrome.

Methods: Clinical data of all patients who presented with spontaneous esophageal rupture between January 2009 and December 2019 were analyzed. Read More

View Article and Full-Text PDF
January 2022

High risk and low prevalence diseases: Esophageal perforation.

Am J Emerg Med 2022 Mar 18;53:29-36. Epub 2021 Dec 18.

SAUSHEC, Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, TX, USA. Electronic address:

Introduction: Esophageal perforation is a rare but serious condition associated with a high rate of morbidity and mortality.

Objective: This article highlights the pearls and pitfalls of esophageal perforation, including diagnosis, initial resuscitation, and management in the emergency department based on current evidence.

Discussion: Esophageal perforation occurs with injury to the layers of the esophagus, resulting in mediastinal contamination and sepsis. Read More

View Article and Full-Text PDF

Boerhaave syndrome. Case report and literature review.

Cir Cir 2021 ;89(S2):26-30

Departamento de Terapia Intensiva, Hospital Ángeles Mocel, Ciudad de México, México.

Spontaneous lesions can affect only a part of the esophageal wall (Mallory-Weiss syndrome) or constitute a full-thickness rupture of the organ, leading to Boerhaave syndrome. Most commonly affecting males between 50 and 70 years of age, Clinically, the Mackler triad is vomiting, severe chest pain, and subcutaneous cervical emphysema. The delay in diagnosis explains the high mortality rate of this pathology up to 40-60% in those treated at 48 hours. Read More

View Article and Full-Text PDF
December 2021

Endoluminal vacuum therapy in the management of an esophago-pleural fistula as a complication of Boerhaave syndrome in a patient with eosinophilic esophagitis.

BMC Gastroenterol 2021 Dec 20;21(1):484. Epub 2021 Dec 20.

Department of Internal Medicine, Santo Tomas Hospital, Bella Vista, Panama City, Panama.

Background: Boerhaave syndrome is an uncommon condition that represents about 15% of all esophageal perforation. A subset of these patients has eosinophilic esophagitis, a chronic inflammatory disease of the esophagus, that carries a risk of perforation of about 2%. Esophageal perforations can rarely result in the development of an esophago-pleural fistula. Read More

View Article and Full-Text PDF
December 2021

Cyanoacrylate injection treatment for postoperative leakage of Boerhaave's syndrome: A case report.

Medicine (Baltimore) 2021 Dec;100(49):e28075

Department of Internal Medicine, Kyung Hee University Hospital at Gang Dong, Kyung Hee University School of Medicine, Seoul, Korea.

Rationale: Surgical treatment remains the most effective option for treating Boerhaave's syndrome. However, in cases of postoperative anastomotic leakage of Boerhaave's syndrome, endoscopic interventions such as over-the-scope clip, stenting, or cyanoacrylate injection have emerged over reoperation.

Patient Concerns: We report the case of a 50-year-old male patient who presented with vomiting and abdominal pain after alcohol consumption. Read More

View Article and Full-Text PDF
December 2021

Boerhaave's syndrome: A case of spontaneous oesophageal rupture.

Indian J Med Res 2021 07;154(1):156

Department of Gastrointestinal Surgery, Northern Jiangsu People's Hospital, Clinical Medical College of Yangzhou University, Jiangsu Province, PR China.

View Article and Full-Text PDF

Transhiatal esophagectomy in Boerhaave syndrome - Case report and literature review.

Int J Surg Case Rep 2021 Dec 9;89:106583. Epub 2021 Nov 9.

General Surgery Unit, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal; General Surgery Unit, Oesophago-Gastric and Obesity Unit, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal; Clinical Academic Center of Coimbra, Coimbra, Portugal; Coimbra Institute for Clinical and Biomedical Research (iCBR) area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, Coimbra, Portugal.

Introduction: Boerhaave syndrome or spontaneous rupture of the esophagus wall is a rare life-threatening condition. It is more common in male gender and is due to a very swift rise in intraluminal pressure during vomiting. The patient usually presents with chest pain after vomiting. Read More

View Article and Full-Text PDF
December 2021

Boerhaave syndrome with double esophageal perforation. About a case.

Cir Cir 2021 ;89(S1):97-101

Servicio de Cirugía General, Hospital Clínico Quirúrgico Hermanos Ameijeiras, Universidad de Ciencias Médicas de La Habana, La Habana, Cuba.

Introduction: Boerhaave syndrome consists of a spontaneous perforation of the esophagus, with high mortality.

Objective: To describe a case with Boerhaave syndrome with double esophageal perforation.

Case Report: 33-year-old female who came to the hospital for emetic symptoms, followed by retrosternal chest pain; chest drainage is performed. Read More

View Article and Full-Text PDF
November 2021

Conservative treatment of Boerhaave's syndrome in an octogenarian complicated with late distal esophageal stenosis and successfully treated by stent placement.

Cir Cir 2021 ;89(S1):23-27

Department of Surgery, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.

An 83-year-old female patient presented to the Emergency Department with shortness of breath, difficulty swallowing and left-sided chest pain following a vomiting attempt. A rupture in the left lower third of the esophagus, with hydropneumothorax, pneumomediastinum, and subcutaneous emphysema was revealed by chest X-ray, thoracic computed tomography scan, and contrast esophagography. The patient was successfully treated conservatively with closed thoracostomy, intravenous fluids, parenteral nutrition, and broad-spectrum antibiotics coverage. Read More

View Article and Full-Text PDF
November 2021

Diagnostic challenge and surgical management of Boerhaave's syndrome: a case series.

J Med Case Rep 2021 Nov 8;15(1):553. Epub 2021 Nov 8.

Department of Gastrointestinal Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.

Background: Boerhaave's syndrome is the spontaneous rupture of the esophagus, which requires early diagnosis and treatment. Symptoms may vary, and diagnosis can be challenging.

Case Presentation: Case 1: A 54-year-old Chinese man presented to us with sudden-onset epigastric pain radiating to the back following hematemesis. Read More

View Article and Full-Text PDF
November 2021

Bovine xenograft pericardial patch use for definitive single stage repair of a large esophageal defect: a case report.

J Cardiothorac Surg 2021 Oct 13;16(1):300. Epub 2021 Oct 13.

Department of Surgery, College of Medicine, University of Arizona, 6122 33rd St, Paradise Valley, Phoenix, AZ, 85253, USA.

Background: Large esophageal perforations are challenging and often treated with exclusion or resection. This case demonstrates the feasibility of definitive surgical repair of a large esophageal perforation using large bovine pericardial patch.

Case: A patient with missed Boerhaave Syndrome underwent transesophageal echocardiography causing worsening perforation and sepsis. Read More

View Article and Full-Text PDF
October 2021

Boerhaave syndrome.

CMAJ 2021 09;193(38):E1499

Department of Medical Imaging (Chew, Yang), China Medical University Hospital and School of Chinese Medicine (Yang), College of Chinese Medicine, Taichung, Taiwan.

View Article and Full-Text PDF
September 2021

Unusual Presentation of COVID Pneumonia as Esophageal Rupture Ended With Successful Management.

Cureus 2021 Aug 21;13(8):e17348. Epub 2021 Aug 21.

Radiology, Stony Brook University, Port Jefferson, USA.

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a severe respiratory syndrome. It started as an epidemic in Wuhan, China, and then become a global pandemic. COVID-19 usually presents with respiratory symptoms, including cough and shortness of breath, accompanied by fever. Read More

View Article and Full-Text PDF

A Hydropneumothorax That Never Was!

Chest 2021 09;160(3):e305-e309

Division of Pulmonary, Critical Care and Sleep Medicine, Mount Sinai Morningside and Mount Sinai West Hospitals, Icahn School of Medicine at Mount Sinai, New York, NY.

View Article and Full-Text PDF
September 2021

Boerhaave syndrome, a rare oesophageal rupture: a case report.

Authors:
Rebecca Horrocks

Br Paramed J 2021 Mar;5(4):49-53

North West Ambulance Service NHS Trust.

Boerhaave syndrome is a disorder mainly unknown among ambulance staff. However, the high mortality and morbidity rates associated with this rare disorder, and the fact that other conditions present with similar symptoms, suggest that this is one disorder to add to the differential diagnosis list. This case study describes a 17-year-old male complaining of left-sided 'pressure'-type chest pain and persistent vomiting who on examination was found to have subcutaneous emphysema present. Read More

View Article and Full-Text PDF

Successful Late Endoscopic Stent-Grafting in a Patient with Boerhaave Syndrome.

Am J Case Rep 2021 Aug 13;22:e931629. Epub 2021 Aug 13.

Second Department of General & Gastrointestinal Surgery & Surgical Oncology of the Alimentary Tract, Medical University of Lublin, Lublin, Poland.

BACKGROUND Boerhaave syndrome is a rare esophageal injury associated with a high mortality rate of 14.8%. Immediate diagnosis and treatment have been associated with a better outcome. Read More

View Article and Full-Text PDF

Esophago-Pericardial Fistulae as a Sequela of Boerhaave Syndrome and Esophageal Stenting: A Case Report and Review of Literature.

J Investig Med High Impact Case Rep 2021 Jan-Dec;9:23247096211036540

Wayne State University/Detroit Medical Center, Detroit, MI, USA.

Esophago-pericardial fistulae is a rare and dreaded entity. Most reported cases in the literature were described in association with advanced upper gastrointestinal malignancies, prior surgical procedures, and radiofrequency atrial fibrillation ablation. It has been rarely reported in association with benign esophageal conditions. Read More

View Article and Full-Text PDF
October 2021

Alternative management of delayed spontaneous oesophageal perforation by endoscopic stenting.

BMJ Case Rep 2021 Jul 13;14(7). Epub 2021 Jul 13.

Department of Surgery, Texas Tech University Health Sciences Center, Covenant Medical Center, Lubbock, TX, USA.

Boerhaave's syndrome or spontaneous perforation of the oesophagus is a life-threatening condition that carries high mortality. Delayed diagnosis has a mortality rate of 20%-50%. While surgical intervention has been the mainstay of treatment, advancements in endoscopy and oesophageal stenting have allowed for alternative management. Read More

View Article and Full-Text PDF

Finding the bubble: atypical and unusual extrapulmonary air in the chest.

Radiologia (Engl Ed) 2021 Jul-Aug;63(4):358-369

Servicio de Radiodiagnóstico, Hospital Vall de Hebron, Barcelona, Spain.

Objective: To describe the radiologic findings of extrapulmonary air in the chest and to review atypical and unusual causes of extrapulmonary air, emphasizing the importance of the diagnosis in managing these patients.

Conclusion: In this article, we review a series of cases collected at our center that manifest with extrapulmonary air in the thorax, paying special attention to atypical and uncommon causes. We discuss the causes of extrapulmonary according to its location: mediastinum (spontaneous pneumomediastinum with pneumorrhachis, tracheal rupture, dehiscence of the bronchial anastomosis after lung transplantation, intramucosal esophageal dissection, Boerhaave syndrome, tracheoesophageal fistula in patients with esophageal tumors, bronchial perforation and esophagorespiratory fistula due to lymph-node rupture, and acute mediastinitis), pericardium (pneumopericardium in patients with lung tumors), cardiovascular (venous air embolism), pleura (bronchopleural fistulas, spontaneous pneumothorax in patients with malignant pleural mesotheliomas and primary lung tumors, and bilateral pneumothorax after unilateral lung biopsy), and thoracic wall (infections, transdiaphragmatic intercostal hernia, and subcutaneous emphysema after lung biopsy). Read More

View Article and Full-Text PDF
December 2021

Boerhaave's Syndrome.

Intern Med 2022 Jan 3;61(2):265-266. Epub 2021 Jul 3.

Department of Internal Medicine, Koga General Hospital, Japan.

View Article and Full-Text PDF
January 2022

'Diagnosis of Boerhaave's Syndrome With Aid of Bedside Ultrasound.

J Emerg Med 2021 11 27;61(5):568-573. Epub 2021 Jun 27.

Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland.

Background: Boerhaave's syndrome is characterized by transmural rupture of the distal esophagus in the setting of increased intraluminal pressures combined with negative intrathoracic pressure. It is a rare condition with high mortality (20-50% mortality rate).

Case Report: This is a case of a 47-year-old man who appeared acutely ill, presenting with shortness of breath, chest and abdominal pain, and diagnosed with Boerhaave's syndrome with the assistance of bedside ultrasound. Read More

View Article and Full-Text PDF
November 2021

Tension hydropneumothorax in a Boerhaave syndrome patient: A case report.

World J Emerg Med 2021 ;12(3):235-237

Emergency Department, Peking Union Medical College Hospital, Beijing 100730, China.

View Article and Full-Text PDF
January 2021

Current status of surgical treatment of Boerhaave's syndrome.

Esophagus 2022 01 11;19(1):175-181. Epub 2021 Jun 11.

Department of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.

Background: Surgical treatment is usually required for Boerhaave's syndrome (post-emetic esophageal perforation), and the technique should be chosen based on the local infection status and patient's general condition. This study was performed to examine the current status of surgical treatment of Boerhaave's syndrome in Japan.

Methods: Ninety-five patients with Boerhaave's syndrome who underwent surgical treatment from January 2010 to December 2015, obtained from a national survey were retrospectively analyzed. Read More

View Article and Full-Text PDF
January 2022

VACStent: Combining the benefits of endoscopic vacuum therapy and covered stents for upper gastrointestinal tract leakage.

Endosc Int Open 2021 Jun 27;9(6):E971-E976. Epub 2021 May 27.

Department of Abdominal, Tumor, Transplant and Vascular Surgery, Cologne-Merheim Medical Center, University Witten/Herdecke, Cologne, Germany.

Endoscopic treatment has markedly improved the high morbidity and mortality in patients with upper gastrointestinal tract leakage. Most procedures employ either covered self-expanding metal stents (SEMS) or endoscopic vacuum therapy (EVT), both with good clinical success but also with concomitant significant shortcomings inherent in each technique. A newly developed device, the VACStent, combines the fully covered SEMS with a polyurethane sponge cylinder anchored on the outside. Read More

View Article and Full-Text PDF