Boerhaave's syndrome: a differential diagnosis of chest and abdominal pain

Ribeiro, Thiago Almeida; Cordoval, Laura Torres da Costa; Neto, Edgard de Magalhães Viana; Ribeiro, Marcelo Almeida; Motta, Emília Guerra Pinto Coelho

doi:10.1590/0100-3984.2016.0138

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Differential diagnoses for BH include acute pancreatitis, aortic dissection, myocardial infarction and spontaneous pneumothorax, which can complicate identifying BH ( Turner & Turner, 2020 ). The work of Ribeiro et al (2018) outlined how persistent vomiting can lead to queries of acute pancreatitis, how left-sided chest pain radiating into the left shoulder can often lead to clinicians querying an aortic dissection or myocardial infarction, whereas subcutaneous emphysema can give a false impression of a pneumothorax, which all may deceive clinicians regarding the underlying BH.…”

Section: Discussionmentioning

confidence: 99%

Boerhaave syndrome, a rare oesophageal rupture: a case report

Horrocks

2021

British Paramedic Journal

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<sec id="s1"> <title/> Boerhaave syndrome is a disorder mainly unknown among ambulance staff. However, the high mortality and morbidity rates associated with this rare disorder, and the fact that other conditions present with similar symptoms, suggest that this is one disorder to add to the differential diagnosis list. This case study describes a 17-year-old male complaining of left-sided ‘pressure’-type chest pain and persistent vomiting who on examination was found to have subcutaneous emphysema present. Deceived by a differential diagnosis, the patient was transferred under the belief that he had suffered a spontaneous pneumothorax as he was tall, young and thin. This case report reviews the literature surrounding Boerhaave syndrome and how it can present. </sec>

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Section: Discussionmentioning

confidence: 99%

Boerhaave syndrome, a rare oesophageal rupture: a case report

Horrocks

2021

British Paramedic Journal

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“…It was with great enthusiasm that we read the article “Boerhaave’s syndrome: a differential diagnosis of chest and abdominal pain” published in the March/April 2018 issue of Radiologia Brasileira ( 1 ) . Although the article mentioned that the use of conventional imaging methods is of great value in the immediate detection of esophageal rupture, we would like to add some information to the text based on simple X-rays, given that the article provided only computed tomography images.…”

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confidence: 99%

Boerhaave’s syndrome: the role of conventional chest X-ray

Lima¹,

Maymone²,

Fazecas³

2018

Radiol Bras

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Boerhaave syndrome: A rare cause of retrosternal pain

Kafedžić¹,

Katica²

2020

PONS

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Acute chest pain is one of the biggest challenges in diagnostic and therapeutic terms due to a number of differential diagnostic options. Boerhaave syndrome is a rare condition, but at the same time one of the most lethal diseases of the gastrointestinal tract. For this reason, a high level of suspicion is required in patients with presenting retrosternal pain. Classic symptoms such as vomiting, chest pain, and subcutaneous emphysema may not always be present. The approach to the patient with Boerhaave syndrome is multidisciplinary. The patient needs urgent rehydration, antibiotic treatment and consultation with a surgery specialist. Treatment is based on the clinical picture of the patient, the location and size of the perforation, but the most important prognostic factor is the time of diagnosis. There are still no official guidelines for the treatment of this condition, and knowledge of treatment options is based on individual case reports from the literature.

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Boerhaave's syndrome: a differential diagnosis of chest and abdominal pain

Cited by 3 publications

References 7 publications

Boerhaave syndrome, a rare oesophageal rupture: a case report

Boerhaave syndrome, a rare oesophageal rupture: a case report

Boerhaave’s syndrome: the role of conventional chest X-ray

Boerhaave syndrome: A rare cause of retrosternal pain

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