Boerhaave Syndrome: A Case Report of Spontaneous Esophageal Perforation
DOI:
https://doi.org/10.65129/medical.v1i3.132Keywords:
Boerhaave Syndrome, Case Report, Esophageal Perforation, Pneumomediastinum, Subcutaneous Emphysema, Thoracic EmergencyAbstract
Boerhaave syndrome is an uncommon but potentially fatal condition caused by spontaneous rupture of the esophagus, usually following forceful vomiting. Delay in diagnosis significantly increases morbidity and mortality. We present a 38 year old man who arrived with chest discomfort, facial swelling, and respiratory distress after repeated vomiting following alcohol binge intake. Imaging demonstrated pneumomediastinum, bilateral pleural effusion, and contrast leakage from the esophagus into the pleural cavity. Emergency thoracic drainage and surgical intervention were performed. Early recognition, aggressive resuscitation, and multidisciplinary management were essential for survival. This report highlights the importance of considering esophageal perforation in patients with chest pain and subcutaneous emphysema following forceful emesis and retching
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