Delayed and atypical presentation of Boerhaave's syndrome as epigastric mass

Autor: Mahavir Singh, Satish Dalal, Baleshwar Dhiman, Sethu Raman
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Dr. NTR University of Health Sciences, Vol 9, Iss 4, Pp 264-266 (2020)
Druh dokumentu: article
ISSN: 2277-8632
DOI: 10.4103/JDRNTRUHS.JDRNTRUHS_55_20
Popis: Boerhaave's syndrome (BS), also known as “spontaneous rupture of the esophagus,” is an emergent condition requiring early diagnosis and management to prevent associated morbidity and mortality. Mortality ranges between 20% and 40% with timely treatment but this rises to virtually 100% if treatment is delayed by more than 48 h.[1] The classical clinical triad of vomiting, chest pain, and subcutaneous emphysema classically described symptoms for BS, which is actually uncommon accounting for the frequently delayed diagnosis.[2] This article describes a case of this syndrome in which the actual diagnosis was made 1 month after the esophageal perforation because of delayed atypical presentation with epigastrium mass and was successfully managed.
Databáze: Directory of Open Access Journals
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