Heparin therapy for mistaken cardiac diagnosis in Boerhaave's syndrome.
We describe two patients with Boerhaave's syndrome who presented with chest pain mimicking cardiac pain and received heparin therapy. One patient developed large intramural esophageal hematoma as a complication of heparin therapy. The other patient had no hematoma and his course was dominated by esophageal rupture. Both were managed conservatively.
Vyas
Harin
H
Division of Gastroenterology, P D Hinduja National Hospital, Veer Savarkar Marg, Mumbai 400 016.
Desal
Devendra
D
Abraham
Philip
P
Joshi
Anand
A
D000368:Aged; D003937:Diagnosis, Differential; D004935:Esophageal Diseases / Q000175:diagnosis*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced*; D006493:Heparin / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000188:drug therapy; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000188:drug therapy; D018570:Risk Assessment; D012422:Rupture, Spontaneous / Q000175:diagnosis; D013577:Syndrome
D006493:Heparin