title: [Spontaneous rupture of the esophagus (Boerhaave syndrome) in a patient with scleroderma treated by continuous ambulatory peritoneal dialysis].
abstract: Esophageal involvement is a common situation found in 50 to 80% of patients with scleroderma, but Boerhaave's syndrome is rare in this context. The authors report the first case of spontaneous esophageal rupture occurring in a chronic renal failure patient treated by continuous ambulatory peritoneal dialysis. In this observation, sclerodermal esophageal dyskinesia, chronic renal failure which is a classical cause of vomiting and the peritoneal dialysis which play an increasing role in the intraabdominal pressure are potential contributing factors to Boerhave's syndrome. In such patients presenting risk factors, even if they are asymptomatic, it seems reasonable to propose esophageal explorations with manometry or/and endoscopy looking for dyskinesia or other complications of gastro-esophageal reflux.
authors.affiliation: Service de néphrologie, hôpital Pellegrin, Bordeaux, France.
authors.forename: C
authors.initials: C
authors.lastname: Level
authors.forename: V
authors.initials: V
authors.lastname: de Precigout
authors.forename: C
authors.initials: C
authors.lastname: Lasseur
authors.forename: D
authors.initials: D
authors.lastname: Hachem
authors.forename: F
authors.initials: F
authors.lastname: Berge
authors.forename: N
authors.initials: N
authors.lastname: Larroumet
authors.forename: J
authors.initials: J
authors.lastname: Carles
authors.forename: V
authors.initials: V
authors.lastname: Blanchetier
authors.forename: J
authors.initials: J
authors.lastname: Videau
authors.forename: C
authors.initials: C
authors.lastname: Combe
authors.forename: M
authors.initials: M
authors.lastname: Aparicio
mesh_terms: D004935:Esophageal Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory; D012422:Rupture, Spontaneous; D012595:Scleroderma, Systemic / Q000150:complications* / Q000628:therapy
vernacular_title: Rupture spontanée de l'oesophage (syndrome de Boerhaave) chez une patiente sclérodermique traitée par dialyse péritonéale continue ambulatoire.