title: Boerhaave's syndrome secondary to gastric volvulus.
abstract: Boerhaave's syndrome is oesophageal rupture as a result of forceful vomiting or retching against a closed cricopharyngeus. We report the case of an 81-year-old man with oesophageal rupture secondary to volvulus of an intrathoracic stomach who underwent laparotomy with a repair of the oesophageal perforation and intrathoracic stomach, making a good recovery. This case demonstrates another life-threatening complication of an intrathoracic stomach and highlights the importance of an early diagnosis and the advantages of using a transabdominal approach in this situation.
authors.affiliation: Department of Surgery, The Royal Infirmary, Edinburgh,  Scotland, UK.
authors.forename: A
authors.initials: A
authors.lastname: Paily
authors.forename: D
authors.initials: D
authors.lastname: Patel
authors.forename: P
authors.initials: P
authors.lastname: Lamb
mesh_terms: D000369:Aged, 80 and over; D042241:Early Diagnosis; D004939:Esophageal Perforation / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D013277:Stomach Volvulus / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D004935:Esophageal Diseases; D012422:Rupture, Spontaneous; D000072663:Spontaneous Perforation