title: Vomiting in pregnancy resulting in oesophageal perforation in a 15-year-old.
abstract: Spontaneous perforation of the oesophagus is extremely rare in children, as is perforation due to vomiting in pregnancy. We report the case of a 15-year-old in whom vomiting in early pregnancy resulted in oesophageal perforation with subcutaneous emphysema causing marked facial swelling in the absence of other signs. The more common clinical presentation of spontaneous oesophageal rupture (Boerhaave's syndrome) is discussed.
authors.affiliation: University Department of Otolaryngology, Manchester Royal Infirmary.
authors.forename: T J
authors.initials: TJ
authors.lastname: Woolford
authors.forename: A R
authors.initials: AR
authors.lastname: Birzgalis
authors.forename: C
authors.initials: C
authors.lastname: Lundell
authors.forename: W T
authors.initials: WT
authors.lastname: Farrington
mesh_terms: D000293:Adolescent; D004939:Esophageal Perforation / Q000209:etiology*; D005260:Female; D006801:Humans; D006939:Hyperemesis Gravidarum / Q000150:complications*; D011247:Pregnancy; D013352:Subcutaneous Emphysema / Q000209:etiology