title: Spontaneous oesophageal rupture: a diagnostic challenge in resource-limited setting.
abstract: Spontaneous oesophageal rupture after swallowing a bolus of food is a very rare condition. In resource-limited settings, it is very challenging to diagnose this condition especially when its presentation is atypical. Its prognosis is very poor when diagnosis is delayed due to risk of mediastinitis. We report a case of 37-year-old man who was admitted to our hospital complaining of sudden onset of chest tightness and pain after a meal 8 h prior to admission. Urgent chest radiograph revealed right hydropneumothorax with collapsed lung. Water-seal drainage was established gushing 1200 ml of food materials. Definitive diagnosis of oesophageal rupture was reached after post-mortem.
authors.affiliation: Department of Internal Medicine , Kilimanjaro Christian Medical Center , Moshi , Tanzania ; Kilimanjaro Christian Medical University College , Moshi , Tanzania ; Image Doctors International , Arusha , Tanzania ; Better Human Health Foundation , Moshi , Tanzania.
authors.forename: Elichilia R
authors.initials: ER
authors.lastname: Shao
authors.affiliation: Department of Internal Medicine , Kilimanjaro Christian Medical Center , Moshi , Tanzania ; Kilimanjaro Christian Medical University College , Moshi , Tanzania.
authors.forename: Pantaleo M
authors.initials: PM
authors.lastname: Joseph
authors.affiliation: Department of Pathology , Kilimanjaro Christian Medical Center , Moshi , Tanzania ; Department of Pathology , Radboud University Medical Centre , Nijmegen , the Netherlands.
authors.forename: Piet
authors.initials: P
authors.lastname: Slootweg
authors.affiliation: Department of Internal Medicine , Kilimanjaro Christian Medical Center , Moshi , Tanzania ; Kilimanjaro Christian Medical University College , Moshi , Tanzania ; Better Human Health Foundation , Moshi , Tanzania ; Endoscopy Unit , Kilimanjaro Christian Medical Center , Moshi , Tanzania.
authors.forename: Elifuraha W
authors.initials: EW
authors.lastname: Mkwizu
authors.affiliation: Department of Internal Medicine , Kilimanjaro Christian Medical Center , Moshi , Tanzania ; Kilimanjaro Christian Medical University College , Moshi , Tanzania ; Endoscopy Unit , Kilimanjaro Christian Medical Center , Moshi , Tanzania.
authors.forename: Kajiru G
authors.initials: KG
authors.lastname: Kilonzo
authors.affiliation: Department of Internal Medicine , Kilimanjaro Christian Medical Center , Moshi , Tanzania ; Kilimanjaro Christian Medical University College , Moshi , Tanzania ; Image Doctors International , Arusha , Tanzania ; Better Human Health Foundation , Moshi , Tanzania ; Endoscopy Unit , Kilimanjaro Christian Medical Center , Moshi , Tanzania.
authors.forename: Amos O
authors.initials: AO
authors.lastname: Mwasamwaja