2 Cases of Spontaneous Esophageal Perforation (Boerhaave Syndrome).
- Author:
Young Min KIM
;
Kyu Nam PARK
;
Won Jae LEE
;
Byung Ho NAH
;
Kwan Mo YANG
;
Seung Pil CHOI
;
Jae Gil PARK
;
Se Kyung KIM
- Publication Type:Case Report
- MeSH:
Adult;
Chest Pain;
Diagnosis;
Dyspnea;
Eating;
Emergencies;
Esophageal Perforation*;
Fever;
Humans;
Male;
Middle Aged;
Multiple Organ Failure;
Sepsis
- From:Journal of the Korean Society of Emergency Medicine
1997;8(4):617-623
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We experienced two cases of Boerhaave syndrome (spontaneous esophageal rupture). The first patient was a 62-year-old male who presented epigastric pain after several violent vomitings associated with alcohol ingestion. Diagnosis was done early and promptly in our emergency center and then definitive treatment was done only after 12hrs from onset of his symptom and he was discharged in relatively good condition 256ays after his admission. The second patient was a 44-year-old male who was transfered to our emergency center with chest pain, dyspnea and fever after vomitings associated with autobicycle accident. Diagnosis was delayed due to initial trauma oriented evaluation and incidious develpement of typical clinical findings and then he was managed conservatively but he died of multiple organ failure due to sepsis. We report these cases with literature review.
