Boerhaave's syndrome in children: a case report and review of the literature

Antonis, Jop H.A.; Poeze, Martijn; Heurn, L. W. Ernest van

doi:10.1016/j.jpedsurg.2006.05.003

Cited by 23 publications

(23 citation statements)

References 17 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A literature review by Antonis in 2006 showed that Boerhaave's syndrome is exceedingly rare in children, reported only 11 times outside of the neonatal age group, many cases in association with serious concurrent illness such as malignancy [17]. Though esophageal disruption was seen neither in our study nor in any of the other pediatric series of pneumomediastinum that we reviewed, if a patient's history warrants, an esophagram in the ER would be appropriate [5,7,10,18].…”

Section: Accepted Manuscriptmentioning

confidence: 60%

Management of spontaneous pneumomediastinum in children

Fitzwater

Silva

Knight

et al. 2015

Journal of Pediatric Surgery

View full text Add to dashboard Cite

Section: Accepted Manuscriptmentioning

confidence: 60%

Management of spontaneous pneumomediastinum in children

Fitzwater

Silva

Knight

et al. 2015

Journal of Pediatric Surgery

View full text Add to dashboard Cite

“…Both of the children described in literature were managed conservatively, which contrasts with the high rate of complications and the need for surgery shown in a recent review about Boerhaave's syndrome in children under 18 years old, in whom it usually occurs because of trauma or iatrogenesis, and associates with a high mortality rate. 27 As shown in our cases, EoE was not suspected when perforation occurred in most of the cases described in literature, and the primary cause of the perforation was diagnosed mainly after the complication arose.…”

Section: Discussionmentioning

confidence: 62%

“…Consequently, adult EoE patients could be more prone to suffering from Boerhaave's syndrome than children. Both of the children described in literature were managed conservatively, which contrasts with the high rate of complications and the need for surgery shown in a recent review about Boerhaave's syndrome in children under 18 years old, in whom it usually occurs because of trauma or iatrogenesis, and associates with a high mortality rate 27 …”

Section: Discussionmentioning

confidence: 91%

Boerhaave's syndrome as the primary manifestation of adult eosinophilic esophagitis. Two case reports and a review of the literature

Lucendo

Friginal-Ruiz

Rodríguez

2011

Diseases of the Esophagus

View full text Add to dashboard Cite

Eosinophilic esophagitis (EoE) has been associated with an increased risk of esophageal mucosal tears induced by vomiting to dislodge impacted food or following endoscopic procedures. However, Boerhaave's syndrome or transmural perforation of the organ resulting from vomiting induced to dislodge impacted food has rarely been reported. In this article, we present two male adult patients with long-term esophageal symptoms who suffered from Boerhaave's syndrome after the impaction of food in the esophagus. Both patients required surgical management because of clinical and radiological signs of perforation. This rare complication of EoE has been documented in 11 other reports, predominantly affecting young men in whom EoE had not been previously diagnosed, despite the majority having esophageal symptoms and a history of atopy. There are only two published cases of esophageal perforation that presented in children, which were managed conservatively. Our two patients and 4 out of the 11 described in literature required surgery because of esophageal perforation. Our two cases involved closure of the perforation, while in three published reports, perforation resulted in a partial or complete esophagectomy. No cases have been published on Boerhaave's syndrome caused by EoE that ended in fatalities. It is important to note that esophageal perforation caused by vomiting is a potentially severe complication of EoE that is being increasingly described in literature. Therefore, patients with non-traumatic Boerhaave's syndrome should be assessed for EoE, especially if they are young men who have a prior history of dysphagia and allergic manifestations.

show abstract

“…The syndrome previously known as Boerhaave's syndrome is typically seen in middle aged men with 40 to 60 years of age [5]. The clinical presentation usually involves a history of alcoholism or overindulgence in foods.…”

Section: Discussionmentioning

confidence: 99%

Esophageal Rupture as a Primary Manifestation in Eosinophilic Esophagitis

Vernon

Mohananey

Ghetmiri

et al. 2014

Case Reports in Medicine

View full text Add to dashboard Cite

Eosinophilic esophagitis (EoE) is a chronic inflammatory process characterized by symptoms of esophageal dysfunction and, histologically, by eosinophilic infiltration of the esophagus. In adults, it commonly presents with dysphagia, food impaction, and chest or abdominal pain. Chronic inflammation can lead to diffuse narrowing of the esophageal lumen which may cause food impaction. Endoscopic procedures to relieve food impaction may lead to complications such as esophageal perforation due to the friability of the esophageal mucosa. Spontaneous transmural esophageal rupture, also known as Boerhaave's syndrome, as a primary manifestation of EoE is rare. In this paper, we present two adult patients who presented with esophageal perforation as the initial manifestation of EoE. This rare complication of EoE has been documented in 13 other reports (11 adults, 2 children) and only 1 of the patients had been previously diagnosed with EoE. A history of dysphagia was present in 1 of our patients and in the majority of previously documented patients. Esophageal perforation is a potentially severe complication of EoE. Patients with a history of dysphagia and patients with spontaneous esophageal perforation should warrant an evaluation for EoE.

show abstract

Boerhaave's syndrome in children: a case report and review of the literature

Cited by 23 publications

References 17 publications

Management of spontaneous pneumomediastinum in children

Management of spontaneous pneumomediastinum in children

Boerhaave's syndrome as the primary manifestation of adult eosinophilic esophagitis. Two case reports and a review of the literature

Esophageal Rupture as a Primary Manifestation in Eosinophilic Esophagitis

Contact Info

Product

Resources

About