Rupture spontanée de l'œsophage (syndrome de Boerhaave) chez une patiente sclérodermique traitée par dialyse péritonéale continue ambulatoire
| Autor: | C Level, V de Precigout, C Lasseur, D Hachem, F Berge, N Larroumet, J Caries, V Blanchetier, J Videau, C Combe, M Aparicio |
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| Rok vydání: | 1997 |
| Předmět: |
medicine.medical_specialty
business.industry Esophageal disease medicine.medical_treatment Continuous ambulatory peritoneal dialysis Gastroenterology Context (language use) medicine.disease Asymptomatic Surgery Peritoneal dialysis medicine.anatomical_structure Dyskinesia Internal Medicine medicine Esophagus medicine.symptom business Kidney disease |
| Zdroj: | La Revue de Médecine Interne. 18:566-570 |
| ISSN: | 0248-8663 |
| Popis: | Esophageal involvement is a common situation found in 50 to 80% of patients with scleroderma, but Boerhaave's syndrome is rare in this context. The authors report the first case of spontaneous esophageal rupture occurring in a chronic renal failure patient treated by continuous ambulatory peritoneal dialysis. In this observation, sclerodermal esophageal dyskinesia, chronic renal failure which is a classical cause of vomiting and the peritoneal dialysis which play an increasing role in the intraabdominal pressure are potential contributing factors to Boerhave's syndrome. In such patients presenting risk factors, even if they are asymptomatic, it seems reasonable to propose esophageal explorations with manometry or/and endoscopy looking for dyskinesia or other complications of gastro-esophageal reflux. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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