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Home > Journals > Minerva Pneumologica > Past Issues > Minerva Pneumologica 1999 March;38(1) > Minerva Pneumologica 1999 March;38(1):43-6



A Journal on Diseases of the Respiratory System

Official Journal of the Italian Society of Thoracic Endoscopy
Indexed/Abstracted in: EMBASE, Scopus

Frequency: Quarterly

ISSN 0026-4954

Online ISSN 1827-1723


Minerva Pneumologica 1999 March;38(1):43-6


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

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

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 penumomediastinum. 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.

language: English


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