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Other Names :  

Esophageal rupture

What is Boerhaaves Syndrome ?  

Boerhaaves Syndrome? Refers to rupture of the esophageal wall.

Cause(s) :  
  • Injury caused by medical instrumentation such as endoscopy
  • Sudden increase in intraesophageal pressure caused by straining or vomiting
  • Infectious ulcers in patients with AIDS
  • Dialation of esophageal strictures
Symptoms :  
  • Severe retching and vomiting
  • Excruciating pain in retrosternal chest and upper abdomen
  • Macklerís triad: Chest pain, vomiting and subcutaneous emphysema
  • Pain can radiate to left shoulder causing physicians to consider myocardial infarction as a diagnosis.
Diagnosis and Tests :  
  • Radiography
  • Computed Tomography (CT) Scan
  • Examination of pleural fluid in patients presenting with pleural effusion
  • Saliva test for squamous cells
  • Esophagram
Category :  Gastrointestinal System

Specialist to consult :  Gastroenterology



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