Oesophageal perforation: an unusual complication of a hypoglycaemic episode.
A case of spontaneous oesophageal rupture following vomiting, secondary to a hypoglycaemic episode is reported. The case is of interest in its presentation and physical signs. It reflects the difficulty in diagnosing a condition associated with considerable morbidity and mortality. The importance of recognition of a pattern of symptoms, physical signs and radiographic findings is emphasized.
Daya
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Accident and Emergency Department, St George's Hospital, Tooting.
Wijetunge
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D000293:Adolescent; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000000981:diagnostic imaging; D004630:Emergencies; D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007003:Hypoglycemia / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D008478:Mediastinal Emphysema / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D012422:Rupture, Spontaneous