Ruptura pós-emética do esôfago: a síndrome de Boerhaave

Abstract

Postemetic rupture of the esophagus, also known as spontaneous rupture or Boerhaave's syndrome, was first described by Herman Boerhaave in 1724. This is a severe disease that causes high mortality rates and is difficult to diagnose not only because it is rare but also because it is frequently confused with other severe clinical conditions, such as acute myocardial infarction, perforated peptic ulcer, and acute pancreatitis. Herein, we describe three cases of patients with this syndrome. Two underwent primary repair of the rupture, and one underwent esophagectomy followed by reconstruction. There was one death due to septic shock in the immediate postoperative period. The other two patients presented favorable long-term evolution.

Esophageal rupture: Computed tomography with endoscopic correlation

“…BS has a high morbidity and mortality, and is usually fatal in the absence of definitive therapy. Because of the nonspecific nature of the symptoms, combined with its rarity, it is often confused with other more prevalent conditions such as myocardial infarction, pulmonary embolus, or perforated peptic ulcer, thus delaying diagnosis ( 4 ). Early diagnosis followed by prompt treatment results in better outcomes ( 5 ).…”

A Rare Complication of Boerhaave's Syndrome: Tension Pneumothorax

“…1 Boerhaave syndrome produces an extremely severe clinical profile of mediastinitis and/or sepsis which develops rapidly due to extravasation of digestive secretions and food into the mediastinum and pleural space. 2 The mainstay of the diagnosis is a plain chest radiograph, which is easy, fast and 88% sensitive. It may show pneumomediastinum, subcutaneous emphysema, and hydropneumothorax.…”