title: Occult Boerhaave's syndrome without vomiting prior to presentation. Report of a case.
abstract: Boerhaave's syndrome (spontaneous esophageal perforation) is an uncommon clinical entity that frequently presents with an antecedent history of marked vomiting followed by chest or abdominal pain. We report a case of spontaneous rupture of the esophagus in 53-year-old male who was referred to our hospital with a chest discomfort. A chest radiogram revealed pleural effusion and pneumomediastinum. Nine hours after onset, the diagnosis of Boerhaave's syndrome become evident. She underwent operative repair and, after a prolonged stay, was discharged in relatively good condition 55 days after admission. The absence of vomiting prior to presentation is the distinguishing feature of this particular case. This is the seventh case in the English literature to our knowledge.
authors.affiliation: Department of Surgery, National Takasaki Hospital, Gunma, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Kamiyoshihara
authors.forename: S
authors.initials: S
authors.lastname: Kakinuma
authors.forename: T
authors.initials: T
authors.lastname: Kusaba
authors.forename: O
authors.initials: O
authors.lastname: Kawashima
authors.forename: M
authors.initials: M
authors.lastname: Kasahara
authors.forename: T
authors.initials: T
authors.lastname: Koyama
authors.forename: T
authors.initials: T
authors.lastname: Yoshida
authors.forename: Y
authors.initials: Y
authors.lastname: Morishita
mesh_terms: D003937:Diagnosis, Differential; D004935:Esophageal Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008478:Mediastinal Emphysema / Q000000981:diagnostic imaging / Q000209:etiology; D008875:Middle Aged; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D013902:Radiography, Thoracic; D012422:Rupture, Spontaneous; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000150:complications / Q000175:diagnosis*