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The Journal of Cardiovascular Surgery 1998 December;39(6):863-5

language: English

Occult ­Boerhaave’s syn­drome ­without vom­iting ­prior to pres­en­ta­tion. Report of a case

Kamiyoshihara M., Kakinuma S., Kusaba T., Kawashima O., Kasahara M., KoyamaT., Yoshida T., Morishita Y.*

From the Depart­ment of Sur­gery National Tak­a­saki Hos­pital
* The ­Second Depart­ment of Sur­gery Gunma Uni­ver­sity ­School of Med­i­cine, ­Gunma, ­Japan


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Boerhaave’s syn­drome (spon­ta­neous esoph­a­geal per­fo­ra­tion) is an ­uncommon clin­ical ­entity ­that fre­quently ­presents ­with an ante­ce­dent his­tory of ­marked vom­iting fol­lowed by ­chest or abdom­inal ­pain. We ­report a ­case of spon­ta­neous rup­ture of the esoph­agus in 53-­year-old ­male who was ­referred to our hos­pital ­with a ­chest dis­com­fort. A ­chest radio­gram ­revealed ­pleural effu­sion and pneu­mo­med­i­as­tinum. ­Nine ­hours ­after ­onset, the diag­nosis of ­Boerhaave’s syn­drome ­become evi­dent. She under­went oper­a­tive ­repair and, ­after a pro­longed ­stay, was dis­charged in rel­a­tively ­good con­di­tion 55 ­days ­after admis­sion. The ­absence of vom­iting ­prior to pres­en­ta­tion is the dis­tin­guishing fea­ture of ­this par­tic­ular ­case. ­This is the sev­enth ­case in the Eng­lish lit­er­a­ture to our knowl­edge.

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