title: [Boerhaave's syndrome and pleural tuberculosis].
abstract: BACKGROUND
  Boerhaave's syndrome is a rare condition involving spontaneous rupture of the oesophagus. The diagnosis is difficult and the prognosis depends on early diagnosis and treatment.
  
  
  METHODS
  We report a case of spontaneous rupture of the oesophagus in a 70-year-old woman where the diagnosis was delayed. Initial treatment comprised dual antibiotic therapy and feeding via a jejunostomy. Three months later, direct suture of the oesophagus was performed successfully. A routine pleural biopsy performed during the surgery revealed pleural tuberculosis. Antituberculous treatment was given for 6 months with good progress after 16 months follow up.
  
  
  CONCLUSIONS
  Boerhaave's syndrome is a rare condition, the diagnosis of which remains difficult. The prognosis is related essentially to the speed of diagnosis. The treatment is always surgical within the framework of appropriate medical management (intensive care, antibiotic therapy). There should be a systematic search for associated pathology.
authors.affiliation: Service de Chirurgie Thoracique, Université Mohammed V, Faculté de Médecine et Pharmacie, CHU Ibn Sina, Rabat, Maroc. abdachir@yahoo.fr
authors.forename: A
authors.initials: A
authors.lastname: Achir
authors.forename: Y
authors.initials: Y
authors.lastname: Ouadnouni
authors.forename: M
authors.initials: M
authors.lastname: Bouchikh
authors.forename: Y
authors.initials: Y
authors.lastname: Msougar
authors.forename: M
authors.initials: M
authors.lastname: Smahi
authors.forename: H
authors.initials: H
authors.lastname: Fenane
authors.forename: M
authors.initials: M
authors.lastname: Maidi
authors.forename: F
authors.initials: F
authors.lastname: Ouchane
authors.forename: H O
authors.initials: HO
authors.lastname: El Malki
authors.forename: A
authors.initials: A
authors.lastname: Benosman
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D003131:Combined Modality Therapy; D057210:Delayed Diagnosis; D003937:Diagnosis, Differential; D016724:Empyema, Pleural / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D004939:Esophageal Perforation / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D008477:Mediastinal Diseases / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D008478:Mediastinal Emphysema / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D010994:Pleura / Q000473:pathology; D012008:Recurrence; D012422:Rupture, Spontaneous; D013908:Thoracotomy; D014396:Tuberculosis, Pleural / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D004935:Esophageal Diseases; D000072663:Spontaneous Perforation
chemical_list: D000900:Anti-Bacterial Agents; D000995:Antitubercular Agents