487 results match your criteria: "Boerhaave Syndrome"
Cureus
October 2024
4th Department of Surgery, "Attikon" University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Spontaneous esophageal rupture, also known as Boerhaave syndrome, represents an unusual yet clinically significant condition characterized by the rupture of the esophageal wall due to a sudden increase in intraluminal pressure, typically induced by vomiting, concomitant with negative intrathoracic pressure dynamics. This condition poses a challenging clinical entity, presenting high mortality rates, especially when treatment is delayed. Surgical intervention is frequently employed as the primary management strategy, while non-surgical approaches, including stent placement and endoluminal vacuum therapy, are less commonly utilized.
View Article and Find Full Text PDFCase Rep Gastroenterol
August 2024
Department of Surgery and Cancer, Imperial College London, London, UK.
Introduction: Boerhaave syndrome is a rare condition associated with high morbidity and mortality. Prompt intervention greatly improves outcomes, with surgery traditionally being the mainstay of management. Recent advances in therapeutic endoscopy have led to increasing interest in endoluminal vacuum therapy (EVT), a minimally invasive technique, allowing wound debridement and drainage, encouraging granulation tissue formation.
View Article and Find Full Text PDFWe present an uncommon pathology of Boerhaave's syndrome and its fatal outcome in a 77-year-old man who presented to the emergency room with loss of consciousness and a history of chronic cough that had increased in intensity over the past week. Radiological investigations revealed bilateral pleural effusion, initially pointing to a transudative aetiology. Diagnostic pleural aspiration showed an exudative effusion with high amylase, and an intercostal drainage tube was inserted for the left massive effusion.
View Article and Find Full Text PDFIntern Med
October 2024
Department of Surgery, Kesen-numa City Hospital, Japan.
J Visc Surg
October 2024
Grenoble University Hospital Center, boulevard de la Chantourne, 38700 La Tronche, France.
Cureus
September 2024
General Surgery, Bedfordshire Hospitals NHS Foundation Trust, Bedford, GBR.
Hamman's syndrome, or spontaneous pneumomediastinum, refers to free air in the mediastinum without an apparent cause and typically affects young people. This case report describes a 33-year-old man who presented with neck swelling following excessive vomiting due to alcohol consumption. Clinical examination revealed subcutaneous emphysema of the neck, and imaging confirmed pneumomediastinum.
View Article and Find Full Text PDFThorac Surg Clin
November 2024
Department of Thoracic Surgery, Creighton University Medical Center, Omaha, NE, USA. Electronic address:
Pneumomediastinum, air within the mediastinum, is the manifestation of a variety of causes including those that are benign and some resulting in severe morbidity and even mortality. This article reviews the epidemiology, etiology, and pathophysiology of pneumomediastinum as an independent pathologic and physiologic entity, as well as reviews the workup and management of those patients who are diagnosed with pneumomediastinum.
View Article and Find Full Text PDFBr J Surg
August 2024
Department of General, Visceral, Cancer and Transplantation Surgery, University of Cologne, Cologne, Germany.
Gastrointest Endosc
August 2024
Department of Internal Medicine I, Gastroenterology, Gastrointestinal Oncology, Hepatology, Infectiology and Geriatrics, University Hospital Tübingen, Tübingen, Germany.
Background And Aims: Boerhaave syndrome, an effort rupture of the esophagus, is a rare but serious condition. Endoscopic vacuum therapy (EVT) is a new therapeutic approach for GI perforation. We aimed to evaluate EVT for treatment of Boerhaave syndrome.
View Article and Find Full Text PDFACG Case Rep J
August 2024
Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Boerhaave syndrome, an esophageal perforation due to increased intraesophageal pressure, may mimic other cardiovascular conditions including acute coronary syndrome. In this report, we present a case of a 63-year-old man who presented with chest pain and ischemic electrocardiogram abnormalities, prompting an initial diagnosis of ST elevation myocardial infarction. After coronary stenting, the patient continued to have chest pain, ST segment elevations, and newly elevated cardiac enzymes.
View Article and Find Full Text PDFDiagnostics (Basel)
July 2024
Emergency Department, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
We present the case of a 46-year-old patient who arrived at the emergency department with chest pain following an episode of vomiting. The diagnosis was Boerhaave syndrome and acute mediastinitis. Due to the prompt presentation and the location of the rupture in the lower esophagus, emergency surgical intervention was performed, including esophageal suturing, mediastinal drainage, and jejunostomy for feeding.
View Article and Find Full Text PDFEndoscopy
December 2024
Gastroenterology, Hospital Garcia de Orta EPE, Almada, Portugal.
Cureus
July 2024
College of Medicine, Vision Colleges, Riyadh, SAU.
Esophageal perforation, a rare and serious condition, has seen a reduction in mortality from 30% to 15% over the last three decades due to advancements such as gastrointestinal stents, minimally invasive surgeries, and improved interventional radiology techniques. This review analyzes management strategies for esophageal perforation based on 14 English-language articles published from 2009 to 2024, primarily utilizing surveys and national database analyses. The management of esophageal perforation is complex, with challenges in diagnosis and treatment strategy.
View Article and Find Full Text PDFEur Heart J Case Rep
July 2024
Division of Cardiology, Montefiore Medical Center, Bronx, NY, USA.
Background: A rare complication of oesophageal rupture or Boerhaave syndrome is myopericarditis due to leakage of oesophageal contents. This presentation can mimic a myocardial infarction, making diagnosis and management challenging.
Case Summary: We present the case of a middle-aged man presenting with chest pain, who was diagnosed with Boerhaave syndrome complicated by myopericarditis, although the presentation was concerning for acute coronary syndrome.
J Community Hosp Intern Med Perspect
March 2024
Department of Gastroenterology, Eisenhower Health, USA.
Boerhaave syndrome (BS) is a rare clinical diagnosis associated with a high morbidity and mortality rate. Diagnosis of this condition is usually delayed which can lead to a very poor outcome. The timing of presentation and time to management plays a very important role in the prognosis and selection of the management method.
View Article and Find Full Text PDFClin Pract Cases Emerg Med
May 2024
UNC Health Southeastern, Department of Emergency Medicine, Lumberton, North Carolina.
Boerhaave's syndrome is a life-threatening spontaneous esophageal rupture, usually in its distal part. It generally develops after situations that suddenly increase the intraesophageal pressure, such as, during or after persistent vomiting. Despite it being a rare condition in clinical practice, it has a high mortality rate (18-39%).
View Article and Find Full Text PDFWorld J Clin Cases
May 2024
Department of Emergency Medicine, Wythenshawe Hospital, Manchester M23 9LT, United Kingdom.
Rev Esp Enferm Dig
May 2024
Gastroenterology, Centro Hospitalar Tondela-Viseu, Portugal.
A 55-year-old-woman was admitted to the emergency department with hematemesis and abdominal pain. Her physical examination was unremarkable. Laboratory results without anemia.
View Article and Find Full Text PDFAm J Case Rep
April 2024
Department of Medicine, Lewis Gale Medical Center, Salem, VA, USA.
Cureus
April 2024
Otolaryngology - Head and Neck Surgery, Royal Medical Services, Riffa, BHR.
Ann R Coll Surg Engl
July 2024
Department of Surgery, Royal Infirmary of Edinburgh, Scotland, NHS Lothian, UK.
Introduction: Boerhaave syndrome is a rare clinical entity associated with high rates of morbidity and mortality. Early recognition of the symptoms, and identification of the site and extension of the injury are key in improving the prognosis.
Methods: This study presents data on the mortality, morbidity and length of hospital stay in patients diagnosed with Boerhaave syndrome.
Cureus
February 2024
Department of Respiratory Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, IND.
Boerhaave syndrome is an esophagal perforation due to a rupture of the esophagus wall caused by intense vomiting with mediastinitis and subcutaneous emphysema. It is a relatively rare and potentially life-threatening ailment that requires prompt diagnosis and treatment. This case presents an overview of the syndrome, including morbidity, mortality, and treatment strategy.
View Article and Find Full Text PDFCureus
February 2024
Internal Medicine, Our Lady's Hospital, Navan, IRL.
Oesophageal perforation (OP) is a life-threatening condition and refers to a tear or disruption in the oesophageal wall. It is considered a medical emergency due to its significant implications, often related to its various causes, such as iatrogenic perforation during endoscopy, Boerhaave syndrome, traumatic injury, foreign body ingestion, and tumour perforation. Early interventions, diagnosis, and a thorough physical examination are essential for better clinical outcomes.
View Article and Find Full Text PDFFront Med (Lausanne)
March 2024
Department of Gastroenterology, Shenzhen Luohu People's Hospital, Shenzhen, China.
Colonoscopy is widely acknowledged as a prevalent and efficacious approach for the diagnosis and treatment of gastrointestinal disorders. In order to guarantee an effective colonoscopy, it is imperative for patients to undergo an optimal bowel preparation regimen. This entails the consumption of a substantial volume of a non-absorbable solution to comprehensively purge the colon of any fecal residue.
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