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A Potential Pitfall in the Differential Diagnosis of Epigastric Pain: Boerhaave’s Syndrome

Year 2017, Volume: 4 Issue: 2, 27 - 29, 01.08.2017

Gülçim Saraçoğlu Toros Mert Saraçoğlu Şükrü Gürbüz

Abstract

Spontaneous
esophageal perforation (Boerhaave’s syndrome) is a very rare, life-threatening
surgical emergency that should be suspected in all patients presenting with
lower thoracic-epigastric pain and a combination of gastrointestinal and
respiratory symptoms. A 68-years-old male presented with sudden severe atypical
epigastric pain that was difficult to control. A contrast-enhanced CT scan of
the chest showed bilateral plevral effusion, left pneumothorax and
pneumomediastinum. Boerhaave's syndrome was diagnosed but during this time, he
was unfortunately critically unwell and continued to deteriorate. He was
subsequently underwent surgery but the patient died after surgery.

Keywords

Boerhaave’s Syndrome Contrast-enhanced Computerized Tomography Esophageal Rupture

References

  • 1. De Schipper JP, Pull ter Gunne AF, Oostvogel HJ , van Laarhoven CJ. Spontaneous Rupture of the Oesophagus: Boerhaave’s Syndrome in 2008 Literature Review and Treatment Algorithm Dig Surg. 2009;26:1–6
  • 2. Rokicki M, Rokicki W, Rydel M. Boerhaave`s syndrome– over 290 yrs of surgical experiences. Epidemiology, Pathophysiology, Diagnosis. Pol Przegl Chir. 2016;88 (6):359–64.
  • 3. Tonolini M, Bianco R. Spontaneous esophageal perforation (Boerhaave syndrome): Diagnosis with CT-esophagography.J Emerg Trauma Shock. 2013;6(1):58-60.
  • 4. Praveen K Roy, Boerhaave syndrome. Emedicine. Medscape. Web site. Available at. http://emedicine.medscape.com/article/171683 Updated: Jul 06, 2015
  • 5. Drury M, Anderson W, Heffner JE. Diagnostic value of pleural fluid cytology in occult Boerhaave’s syndrome. Chest. 1992;102(3):976-8.

Epigastrik Ağrının Ayırıcı Tanısında Potansiyel Bir Tuzak: Boerhaave Sendromu

Year 2017, Volume: 4 Issue: 2, 27 - 29, 01.08.2017

Gülçim Saraçoğlu Toros Mert Saraçoğlu Şükrü Gürbüz

Abstract

Spontan özofagus
perforasyonu (Boerhaave sendromu), alt torasik-epigastrik ağrı ile
gastrointestinal ve solunumsal semptomların birlikteliği ile başvuran tüm
hastalarda şüphelenilmesi gereken, çok nadir, hayatı tehdit edici cerrahi bir
acildir. Olgumuz, ani başlangıçlı, şiddetli ve medikal tedaviye yanıt vermeyen
epigastrik ağrı ile başvuran 68 yaşında erkek hastadır. Toraksın kontrastlı
tomografisinde bilateral plevral effüzyon, ve solda pnömotoraks ve
pnömomediastinum saptandı. Boerhaave Sendromu tanısı konan olgu, durumunun
kötüleşmesi üzerine operasyona alınmasına rağmen ölümle sonuçlandı.

Keywords

Boerhaave Sendromu Kontrastlı Bilgisayarlı Özofagus Rüptürü Tomografi

References

  • 1. De Schipper JP, Pull ter Gunne AF, Oostvogel HJ , van Laarhoven CJ. Spontaneous Rupture of the Oesophagus: Boerhaave’s Syndrome in 2008 Literature Review and Treatment Algorithm Dig Surg. 2009;26:1–6
  • 2. Rokicki M, Rokicki W, Rydel M. Boerhaave`s syndrome– over 290 yrs of surgical experiences. Epidemiology, Pathophysiology, Diagnosis. Pol Przegl Chir. 2016;88 (6):359–64.
  • 3. Tonolini M, Bianco R. Spontaneous esophageal perforation (Boerhaave syndrome): Diagnosis with CT-esophagography.J Emerg Trauma Shock. 2013;6(1):58-60.
  • 4. Praveen K Roy, Boerhaave syndrome. Emedicine. Medscape. Web site. Available at. http://emedicine.medscape.com/article/171683 Updated: Jul 06, 2015
  • 5. Drury M, Anderson W, Heffner JE. Diagnostic value of pleural fluid cytology in occult Boerhaave’s syndrome. Chest. 1992;102(3):976-8.
There are 5 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Case Report
Authors

Gülçim Saraçoğlu This is me

Toros Mert Saraçoğlu This is me

Şükrü Gürbüz This is me

Publication Date August 1, 2017
Submission Date September 13, 2018
Published in Issue Year 2017 Volume: 4 Issue: 2

Cite

APA Saraçoğlu, G., Saraçoğlu, T. M., & Gürbüz, Ş. (2017). A Potential Pitfall in the Differential Diagnosis of Epigastric Pain: Boerhaave’s Syndrome. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, 4(2), 27-29.
AMA Saraçoğlu G, Saraçoğlu TM, Gürbüz Ş. A Potential Pitfall in the Differential Diagnosis of Epigastric Pain: Boerhaave’s Syndrome. MMJ. August 2017;4(2):27-29.
Chicago Saraçoğlu, Gülçim, Toros Mert Saraçoğlu, and Şükrü Gürbüz. “A Potential Pitfall in the Differential Diagnosis of Epigastric Pain: Boerhaave’s Syndrome”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 4, no. 2 (August 2017): 27-29.
EndNote Saraçoğlu G, Saraçoğlu TM, Gürbüz Ş (August 1, 2017) A Potential Pitfall in the Differential Diagnosis of Epigastric Pain: Boerhaave’s Syndrome. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 4 2 27–29.
IEEE G. Saraçoğlu, T. M. Saraçoğlu, and Ş. Gürbüz, “A Potential Pitfall in the Differential Diagnosis of Epigastric Pain: Boerhaave’s Syndrome”, MMJ, vol. 4, no. 2, pp. 27–29, 2017.
ISNAD Saraçoğlu, Gülçim et al. “A Potential Pitfall in the Differential Diagnosis of Epigastric Pain: Boerhaave’s Syndrome”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 4/2 (August 2017), 27-29.
JAMA Saraçoğlu G, Saraçoğlu TM, Gürbüz Ş. A Potential Pitfall in the Differential Diagnosis of Epigastric Pain: Boerhaave’s Syndrome. MMJ. 2017;4:27–29.
MLA Saraçoğlu, Gülçim et al. “A Potential Pitfall in the Differential Diagnosis of Epigastric Pain: Boerhaave’s Syndrome”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, vol. 4, no. 2, 2017, pp. 27-29.
Vancouver Saraçoğlu G, Saraçoğlu TM, Gürbüz Ş. A Potential Pitfall in the Differential Diagnosis of Epigastric Pain: Boerhaave’s Syndrome. MMJ. 2017;4(2):27-9.
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