title: Spontaneous esophageal rupture following severe vomiting in pregnancy.
abstract: Spontaneous esophageal perforation is an uncommon finding requiring prompt diagnosis and immediate surgery because of its high mortality rate. Esophageal rupture secondary to severe vomiting in pregnancy is extremely rare and only four cases have been published in the literature. We report the case of a 20-year-old female in whom severe vomiting in early pregnancy resulted in esophageal perforation with subcutaneous emphysema. The diagnosis was made 48 h later. The patient had undergone surgical treatment and the postoperative period was uneventful. The unusual cause and the interesting clinical course of esophageal rupture are described.
authors.affiliation: Department of Thoracic Surgery, School of Medicine, Atatürk University, Erzurum, Turkey. atilaeroglu@hotmail.com
authors.forename: Atilla
authors.initials: A
authors.lastname: Eroğlu
authors.forename: Can
authors.initials: C
authors.lastname: Kürkçüoğlu
authors.forename: Nurettin
authors.initials: N
authors.lastname: Karaoğlanoğlu
authors.forename: Celal
authors.initials: C
authors.lastname: Tekinbaş
authors.forename: Mehmet
authors.initials: M
authors.lastname: Cesur
mesh_terms: D000328:Adult; D004935:Esophageal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006939:Hyperemesis Gravidarum / Q000150:complications*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000601:surgery*; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D011859:Radiography; D018570:Risk Assessment; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D012720:Severity of Illness Index; D016896:Treatment Outcome