Boerhaave's Syndrome: Still a Diagnostic and Therapeutic Challenge in the 21st Century
Boerhaave's syndrome is a rare but potentially fatal condition characterised by a transmural tear of the distal oesophagus induced by a sudden increase in pressure. Diagnosis is challenging as the classic triad of vomiting, abdominal or chest pain, and subcutaneous emphysema is absent in many p...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2013/161286 |
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| author | J. Spapen J. De Regt K. Nieboer G. Verfaillie P. M. Honoré H. Spapen |
| author_facet | J. Spapen J. De Regt K. Nieboer G. Verfaillie P. M. Honoré H. Spapen |
| author_sort | J. Spapen |
| collection | DOAJ |
| description | Boerhaave's syndrome is a rare but potentially fatal condition characterised by a transmural tear of the distal oesophagus induced by a sudden increase in pressure. Diagnosis is challenging as the classic triad of vomiting, abdominal or chest pain, and subcutaneous emphysema is absent in many patients. Management is multidisciplinary and relies on rapid, distinct, and repeated imaging. Treatment has not been standardised and may be conservative, endoscopic, or surgical. We present a typical case which illustrates possible diagnostic pitfalls and the therapeutic conundrum surrounding management of the syndrome. Based on time of presentation and eventual presence of sepsis, a therapeutic algorithm is proposed. |
| format | Article |
| id | doaj-art-e62251e32f3142759eee85b31ff0b596 |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-e62251e32f3142759eee85b31ff0b5962025-02-03T01:00:21ZengWileyCase Reports in Critical Care2090-64202090-64392013-01-01201310.1155/2013/161286161286Boerhaave's Syndrome: Still a Diagnostic and Therapeutic Challenge in the 21st CenturyJ. Spapen0J. De Regt1K. Nieboer2G. Verfaillie3P. M. Honoré4H. Spapen5Department of Internal Medicine, University Hospital, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumDepartment of Intensive Care, University Hospital, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumDepartment of Radiology, University Hospital, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumDepartment of Thoracic Surgery, University Hospital, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumDepartment of Intensive Care, University Hospital, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumDepartment of Intensive Care, University Hospital, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumBoerhaave's syndrome is a rare but potentially fatal condition characterised by a transmural tear of the distal oesophagus induced by a sudden increase in pressure. Diagnosis is challenging as the classic triad of vomiting, abdominal or chest pain, and subcutaneous emphysema is absent in many patients. Management is multidisciplinary and relies on rapid, distinct, and repeated imaging. Treatment has not been standardised and may be conservative, endoscopic, or surgical. We present a typical case which illustrates possible diagnostic pitfalls and the therapeutic conundrum surrounding management of the syndrome. Based on time of presentation and eventual presence of sepsis, a therapeutic algorithm is proposed.http://dx.doi.org/10.1155/2013/161286 |
| spellingShingle | J. Spapen J. De Regt K. Nieboer G. Verfaillie P. M. Honoré H. Spapen Boerhaave's Syndrome: Still a Diagnostic and Therapeutic Challenge in the 21st Century Case Reports in Critical Care |
| title | Boerhaave's Syndrome: Still a Diagnostic and Therapeutic Challenge in the 21st Century |
| title_full | Boerhaave's Syndrome: Still a Diagnostic and Therapeutic Challenge in the 21st Century |
| title_fullStr | Boerhaave's Syndrome: Still a Diagnostic and Therapeutic Challenge in the 21st Century |
| title_full_unstemmed | Boerhaave's Syndrome: Still a Diagnostic and Therapeutic Challenge in the 21st Century |
| title_short | Boerhaave's Syndrome: Still a Diagnostic and Therapeutic Challenge in the 21st Century |
| title_sort | boerhaave s syndrome still a diagnostic and therapeutic challenge in the 21st century |
| url | http://dx.doi.org/10.1155/2013/161286 |
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