title: [Spontaneous contained perforation of a hiatal hernia. A new equivalent of Boerhaave's syndrome].
abstract: The authors report the case of an alcoholic 49-year-old man hospitalized because of epigastric pain and hematemesis. Upper endoscopy showed a tear in a hiatus hernia (interpreted as a Mallory-Weiss lesion) and a bleeding duodenal ulcer. Upper barium examination performed 16 days later revealed a mediastinal collection communicating with the hiatus hernia. Retrospective evaluation of chest roentgenograms obtained at admission showed a limited mediastinal gas collection. With medical management, the collection progressively disappeared. From a theoretical point of view, this case illustrates Watts' theory on the effect of hiatus hernia on the site of postemetic injury. From a practical point of view, it confirms that conservative management is indicated in contained spontaneous perforations.
authors.affiliation: Service de Radiologie A, CHU Nord, Amiens.
authors.forename: J
authors.initials: J
authors.lastname: Delamarre
authors.forename: A
authors.initials: A
authors.lastname: Papazian
authors.forename: J P
authors.initials: JP
authors.lastname: Capron
authors.forename: J L
authors.initials: JL
authors.lastname: Dupas
authors.forename: C
authors.initials: C
authors.lastname: Gondry-Jouet
authors.forename: B
authors.initials: B
authors.lastname: Deschepper
mesh_terms: D004939:Esophageal Perforation / Q000209:etiology*; D006548:Hernia, Diaphragmatic; D006551:Hernia, Hiatal / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D014839:Vomiting / Q000150:complications*
vernacular_title: Perforation "spontanée" cloisonnée d'une hernie hiatale. Un nouvel équivalent du syndrome de Boerhaave.