Esophageal Rupture; A Case Report

Document Type : Case Report

Authors

1 Assistant Professor, Department of Surgery, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran

2 Department of Nursing, School of Medicine, Ardabil University of Medical Sciences, Ardabil AND PhD student, Department of Health Education and Health Promotion, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background: One of the most lethal damages of the gastrointestinal tract is esophageal perforation. The prevalent causes of esophageal perforation are diagnosis interventions, trauma, and Boerhaave’s syndrome. Although esophageal perforation after vomiting is rare, but has a high mortality risk; therefore, early diagnosis and treatment is essential.Case Report: The patient was a 44-year-old man admitted to the emergency room due to severe chest pain with a history of vomiting after eating egg, 4 hours ago. Vomiting was not too severe and the pain was in the right chest. After the diagnosis of esophageal rupture, the patient underwent thoracotomy.Conclusion: As esophageal perforation is a real emergency, on-time diagnosis and treatment is vital.

Keywords


  1. Daneshvar Kakhki A, Badieei A, Ghoncheh M, Abbasi A. Primary repair of an intrathoracic esophageal perforation with late diagnosis; review of literatures and discussion. Iran J Surg 2004; 12 (33): 77-82. [In Persian].
  2. Mahmodlou R. Boerhaave's syndrome presenting. Urmia Med J 2011; 22(2): 152-4. [In Persian].
  3. Salo JA, Seppala KM, Pitkaranta PP, Kivilaakso EO. Spontaneous rupture and functional state of the esophagus. Surgery 1992; 112(5): 897-900.
  4. Mota HJ, Ximenes NM, Medeiros AC. Postemetic rupture of the esophagus: Boerhaave's syndrome. J Bras Pneumol 2007; 33(4): 480-3.
  5. Younes Z, Johnson DA. The spectrum of spontaneous and iatrogenic esophageal injury: perforations, Mallory-Weiss tears, and hematomas. J Clin Gastroenterol 1999; 29(4): 306-17.
  6. Cho S, Jheon S, Ryu KM, Lee EB. Primary esophageal repair in Boerhaave's syndrome. Dis Esophagus 2008; 21(7): 660-3.
  7. Bjerke HS. Boerhaave's syndrome and barogenic injuries of the esophagus. Chest Surg Clin N Am 1994; 4(4): 819-25.
  8. Singh GS, Slovis CM. "Occult" Boerhaave's syndrome. J Emerg Med 1988; 6(1): 13-6.
  9. Schwartz SI, Fischer JE, Daly JM, Shires GT. Principles of surgery. 7th ed. New York, NY: McGraw-Hill; 1998. p. 1156-8.