Mediastinitis and septic shock complicating spontaneous esophageal rupture “Boerhaave’s syndrome”: a case report
Dublin Core
Title
Mediastinitis and septic shock complicating spontaneous esophageal rupture “Boerhaave’s syndrome”: a case report
Subject
Boerhaave’s syndrome, also known as spontaneous esophageal rupture,
Description
Abstract
Boerhaave’s syndrome, also known as spontaneous esophageal rupture, is a rare but life-threatening condition char-
acterized by a tear in the esophagus. It is most commonly caused by a sudden increase in intraesophageal pressure,
often due to severe vomiting or retching.
Early diagnosis of Boerhaave’s syndrome is crucial for improving patient outcomes. The classic triad of symptoms
includes severe chest pain, vomiting, and subcutaneous emphysema (air under the skin). However, not all patients
present with this triad, and the diagnosis can be challenging, especially in patients without the typical symptoms.
In this case report, we present the clinical details of a 52-year-old male patient who presented to the emergency
department (ED) with severe abdominal pain and vomiting for several days. The patient had a history of chronic alco-
hol abuse and a recent episode of vigorous vomiting.
Boerhaave’s syndrome, also known as spontaneous esophageal rupture, is a rare but life-threatening condition char-
acterized by a tear in the esophagus. It is most commonly caused by a sudden increase in intraesophageal pressure,
often due to severe vomiting or retching.
Early diagnosis of Boerhaave’s syndrome is crucial for improving patient outcomes. The classic triad of symptoms
includes severe chest pain, vomiting, and subcutaneous emphysema (air under the skin). However, not all patients
present with this triad, and the diagnosis can be challenging, especially in patients without the typical symptoms.
In this case report, we present the clinical details of a 52-year-old male patient who presented to the emergency
department (ED) with severe abdominal pain and vomiting for several days. The patient had a history of chronic alco-
hol abuse and a recent episode of vigorous vomiting.
Creator
Said Kortli1* and Hery Andrianjafy1
Source
https://doi.org/10.1186/s12245-024-00642-0
Date
2024
Contributor
Peri Irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Said Kortli1* and Hery Andrianjafy1, “Mediastinitis and septic shock complicating spontaneous esophageal rupture “Boerhaave’s syndrome”: a case report,” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/12348.