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Library: Gastroenterology
Article type: Case Report
DOI: 10.1102/1470-5206.2005.0010
Vol 5 pages 42-45

A case report of Boerhaave's syndrome

Sreekanth Reddivari, Carlo Nunes, Emyr Humphries and Christopher Fox
William Harvey Hospital, East Kent NHS Trust, UK

Corresponding address: Sreekanth Reddivari, 34 Drake Road, Willesborough, Ashford, Kent, TN24 0UP, UK.
Tel.: +44 (123) 363 3331;
E-mail: sreekanthreddivari@yahoo.co.uk

We report a case of Boerhaave's syndrome in a previously fit 57-year-old lady with an aetiological association with a co-existing duodenal ulcer. We discuss the diagnostic difficulties presented by this case, the importance of prompt diagnosis and intervention, and the problems involved in the management that are highlighted in this case. This is an extremely rare but well recognised entity. A 1980 review by Kish cited only 300 cases worldwide; a small percentage were diagnosed post mortem (John BE, Zua MS. Boerhaave's syndrome---an elusive diagnosis. Tenn Med 1997; 90: 56--8).

Key words

Spontaneous rupture of the oesophagus; oesophageal perforation; transmural perforation of the oesophagus; emesis complications.

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