[A man with vomiting and retrosternal pain and dysphagia].

Ned Tijdschr Geneeskd

Canisius Wilhelmina Ziekenhuis, afd. Maag-darm-leverziekten, Nijmegen.

Published: April 2020

A 67-year-old male presents with complaints of severe retrosternal pain, frequent vomiting and dysphagia. Endoscopy revealed a very large intramural oesophageal hematoma, obliterating the lumen. Additional CT-imaging showed peri-oesophageal air collections, indicative for oesophageal perforation (compatible with Boerhaave's syndrome). Patient was treated successfully with intravenous antibiotics and fluid. Follow-up endoscopy after one year showed full recovery of the oesophageal wall.

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