title: [Incomplete spontaneous esophageal rupture - a variant of the Mallory-Weiss and Boerhaave syndrome?].
abstract: Belching and severe vomiting may lead in association with gastro-oesophageal prolapse to a variety of lesions within the gastro-oesophageal junction. Incarceration of the prolapse, diffuse hemorrhage from the prolapsed mucosa, longitudinal lacerations (Mallory-Weiss syndrome), intramural hematoma and spontaneous rupture (Boerhaave syndrome) are the most common complications. Based on 4 cases of incomplete rupture of the oesophagus we would like to draw attention to a disorder with mediastinal emphysema or pneumopericardium following severe vomiting. It is postulated that air escapes from a mucosal tear in the terminal oesophagus into the mediastinum. Conservative treatment seems justified.
mesh_terms: D000293:Adolescent; D000328:Adult; D003937:Diagnosis, Differential; D004935:Esophageal Diseases / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006406:Hematoma / Q000175:diagnosis; D006801:Humans; D008297:Male; D008309:Mallory-Weiss Syndrome / Q000175:diagnosis; D008875:Middle Aged; D012422:Rupture, Spontaneous; D014839:Vomiting / Q000150:complications
vernacular_title: Inkomplette spontane Osophagusruptur - eine Variante des Mallory-Weiss-bzw. des Boerhaave-Syndroms?