Endoscopic Findings in Boerhaave's Syndrome: Report of three cases.
- Author:
Sung Han BAE
1
;
Woo Bong CHOI
;
Il Kwun CHUNG
;
Dong Hwa SONG
;
Hong Su KIM
;
Sang Heum PARK
;
Moon Ho LEE
;
Sung Ju KIM
Author Information
1. Department of Internal Medicine, Division of Gastroenterology, Soonchunhyang University College of Medicine, Chunan, Korea.
- Publication Type:Case Report
- Keywords:
Boerhaave's syndrome;
Spontaneous esophageal rupture;
Endoscopic finding
- MeSH:
Chest Pain;
Dyspnea;
Eating;
Esophagus;
Female;
Fever;
Hematemesis;
Hematoma;
Hemorrhage;
Humans;
Lacerations;
Male;
Nausea;
Respiration;
Rupture;
Subcutaneous Emphysema;
Vomiting
- From:Korean Journal of Gastrointestinal Endoscopy
1998;18(5):698-705
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Boerhaave's syndrome, which was first described by Herman Boerhave in 1724, is a spontaneous esophagcal rupture resulting from severe nausea and vomiting. It is a very rare disorder, frequently developed in the 4th to 6th decade of life, and affects males more commonly than females. A typical clinical triad of chest pain, fever, and subcutaneous emphysema was manifested in only 20-30% of cases involving an esophageal rupture and most patients complained of many nonspecific symptoms such as dyspnea and hematemesis. In cases of vomiting resulting from alcohol ingestion, gastrofiberscopy can be performed in hematemetic patients under the assumption of upper gastrointestinal bleeding in most cases of Boerhaave's syndrome. We report 3 patients of Boerhaave's syndrome who visited our hospital because of hematemesis. Their endoscopic findings were, 1) a large, deep oval-shaped laceration with a sharp margin on the distal esophagus 2) a cavitary lesion with internal multiple hematomas and/or necrotic debris, and 3) a formation of air bubbles in the hematoma relating to respiration.
