Boerhaave syndrome with atypical clinical presentations diagnosed by computed tomography.
Spontaneous rupture of esophagus (Boerhaave syndrome) is a life-threatening emergency requiring immediate surgical management. The diagnosis is often delayed and results in high mortality and morbidity. Typical clinical presentations are postprandial vomiting and subsequent chest or back pain, which alert the clinicians to take chest film and esophagogram for diagnosis. We presented a case of Boerhaave syndrome with atypical presentation mimicking dissecting aortic aneurysm, which was diagnosed by computed tomography.
Lin
Wei-Chan
WC
Department of Radiology, Taipei Veterans General Hospital, Taiwan, ROC.
Chen
Jen-Dar
JD
Tiu
Chui-Mei
CM
Lo
Hong-Chang
HC
Cho
Yi-Hong
YH
Chan
Cheng-Yen
CY
Chun
Yu
Y
D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis; D001014:Aortic Aneurysm / Q000175:diagnosis; D003937:Diagnosis, Differential; D004935:Esophageal Diseases / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous; D013577:Syndrome; D014057:Tomography, X-Ray Computed