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

Öz

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.

Anahtar Kelimeler

• Boerhaave’s Syndrome,Contrast-enhanced Computerized Tomography,Esophageal Rupture

Epigastrik Ağrının Ayırıcı Tanısında Potansiyel Bir Tuzak: Boerhaave Sendromu

Öz

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.

Anahtar Kelimeler

• Boerhaave Sendromu,Kontrastlı Bilgisayarlı Özofagus Rüptürü,Tomografi

Kaynakça

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