title: Boerhaave's syndrome presenting as a mid-esophageal perforation associated with a right-sided pleural effusion.
abstract: There are few published case reports of Boerhaave's syndrome presenting as a mid-esophageal perforation associated with a right-sided pleural effusion. We present an unusual case of spontaneous perforation of the mid-esophagus and discuss the surgical management and outcome. Our case underscores the importance of a meticulous diagnostic and therapeutic approach to the management of an often elusive and difficult disease process.
authors.affiliation: Thoracic Surgery Division, University of Maryland School of Medicine, Baltimore, MD, USA.
authors.forename: Emily S
authors.initials: ES
authors.lastname: Reardon
authors.affiliation: Thoracic Surgery Division, University of Maryland School of Medicine, Baltimore, MD, USA lmartin@smail.umaryland.edu.
authors.forename: Linda W
authors.initials: LW
authors.lastname: Martin