title: Spontaneous esophageal perforation presenting as a right-sided pleural effusion: a case report.
abstract: Spontaneous esophageal perforation or Boerhaave's syndrome is an uncommon condition that may occur following forceful vomiting and lead to mediastinitis. It is associated with high mortality and morbidity in absence of therapy. We present a case of spontaneous esophageal perforation in a 63 year-old man who developed a right-sided effusion, an unusual presentation. This case report and the relevant literature reveal that delay in prompt surgical repair is associated with a high morbidity and mortality.
authors.affiliation: Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Ebrahim
authors.initials: E
authors.lastname: Razi
authors.affiliation: Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Abdolhossein
authors.initials: A
authors.lastname: Davoodabadi
authors.affiliation: Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Armin
authors.initials: A
authors.lastname: Razi
keywords: Esophageal perforation; Mediastinitis; Pleural effusion