title: [Spontaneous rupture of the esophagus: diagnostic problem in the emergency service].
abstract: We present two case of a spontaneous perforation of the esophagus (Boerhaave's syndrome), they were associated with different symptoms. Both of them the diagnosis was make on the second admission to the emergency service. The Boerhaave's syndrome is potentially lethal, relatively rare and the difficult diagnosis in the initial phases. It's a life threatening condition demanding early diagnosis and rapid aggressive management to prevent fulminant death.
authors.affiliation: Unidad de Aparato Digestivo, Fundación Hospital Alcorcón, Servicio de Urgencias, Hospital Clinico San Carlos, Madrid.
authors.forename: R
authors.initials: R
authors.lastname: Lana Soto
authors.forename: J L
authors.initials: JL
authors.lastname: Mendoza Hernández
authors.forename: F
authors.initials: F
authors.lastname: Arranz García
authors.forename: A
authors.initials: A
authors.lastname: Nieto Sánchez
authors.forename: C
authors.initials: C
authors.lastname: Cuervo Molinero
authors.forename: L
authors.initials: L
authors.lastname: Jiménez de Diego
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004636:Emergency Service, Hospital; D004939:Esophageal Perforation / Q000175:diagnosis* / Q000628:therapy; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed
vernacular_title: Rotura espontánea de esófago: un problema diagnóstico en la urgencia.