Spontaneous esophageal rupture--Boerhaave's syndrome. the clinical picture and diagnosis
Gaa, J.; Deininger, H.K.
Der Radiologe 29(8): 371-376
1989
ISSN/ISBN: 0033-832X PMID: 2678236 Document Number: 336588
Spontaneous transmural rupture of the esophagus (Boerhaave's syndrome) is a life-threatening emergency. Prompt diagnosis is essential to a better prognosis, successful operative outcome and patient survival. The chest roentgenogram and the contrast esophagograms to follow are the most helpful diagnostic tests. The clinical manifestations are variable and may be misleading and thus delay accurate recognition. In our case report the major clinical features and radiological signs of Boerhaave's syndrome are described. The pathogenesis, characteristic clinical symptoms and the signs and radiological evaluation are reviewed.