title: [Spontaneous rupture of the esophagus: Boerhaave's syndrome].
abstract: Boerhaave's syndrome, the spontaneous rupture of the esophagus, is associated with a 35% death rate. Perforated esophagus is a surgical emergency; it is the most serious, and frequently the most rapidly lethal, perforation of the gastro-intestinal tract. Three cases of Boerhaave's syndrome are presented, with their variants and resolutions. Treatment and outcome are largely determined by the time of presentation. We reviewed our experience with esophageal perforations to determine the overall mortality and whether the time of presentation should influence management strategy.
authors.affiliation: Faculdade de Ciências Médicas, Universidade Estadual de Campinas, SP, Brazil. godinho.mauricio@gmail.com
authors.forename: Maurício
authors.initials: M
authors.lastname: Godinho
authors.forename: Eduardo Henrique Buschinelli
authors.initials: EH
authors.lastname: Wiezel
authors.forename: Evaldo
authors.initials: E
authors.lastname: Marchi
authors.forename: Sérgio Ferreira
authors.initials: SF
authors.lastname: Módena
authors.forename: Roberto Anania de
authors.initials: RA
authors.lastname: Paula
mesh_terms: D000328:Adult; D000368:Aged; D004939:Esophageal Perforation / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis / Q000601:surgery; D004935:Esophageal Diseases; D012422:Rupture, Spontaneous; D000072663:Spontaneous Perforation