Atypical presentation of Boerhaave's syndrome as Enterococcal bacterial pericardial effusion.
Boerhaave's perforation is a serious condition describing spontaneous transmural perforation of the oesophagus. The classical presentation of this condition is vomiting, lower thoracic pain and subcutaneous emphysema. However, the condition often presents atypically and it is important to reach the correct diagnosis quickly. We present the case of a 54-year-old woman with a Boerhaave's perforation that presented as Enterococcal bacterial pericardial effusion.
Saha
Arin
A
Department of Cardiothoracic Surgery, The General Infirmary at Leeds, Great George Street, Leeds, LS1 3EX, West Yorkshire, UK. arinsaha@yahoo.com
Jarvis
Martin
M
Thorpe
James A C
JA
O'Regan
David J
DJ
D002637:Chest Pain / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D016983:Enterococcus / Q000302:isolation & purification*; D004939:Esophageal Perforation / Q000000981:diagnostic imaging*; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000000981:diagnostic imaging* / Q000382:microbiology*; D006801:Humans; D008478:Mediastinal Emphysema / Q000000981:diagnostic imaging; D008875:Middle Aged; D010490:Pericardial Effusion / Q000000981:diagnostic imaging* / Q000382:microbiology*; D013902:Radiography, Thoracic; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000000981:diagnostic imaging