Perforation of the Esophagus (Boerhaave’s Syndrome) during Hemodialysis

Abstract

The first case of spontaneous perforation of the esophagus during hemodialysis is reported. This occurred in a 73-year-old patient, following vomiting, which he frequently experienced during dialysis.

A miniseries of spontaneous intramural esophageal hematoma in hemodialysis patients: A rare cause of dysphagia

“…Well‐documented cases of IEH secondary to anticoagulation therapy are sparse in worldwide literature . Only few cases of IEHs have been reported in hemodialysis patients . All our patients received heparin anticoagulation during hemodialysis and one of the patient had associated thrombocytopenia and prolonged prothrombin time due to CLD.…”

“…10,11 Only few cases of IEHs have been reported in hemodialysis patients. 12,13 All our patients received heparin anticoagulation during hemodialysis and one of the patient had associated thrombocytopenia and prolonged prothrombin time due to CLD. Spontaneous IEHs (SIEHs) generally have a benign course and resolve within 3 weeks of conservative management, 14 as seen in our case series where the hematoma resolved in 2-3 weeks time.…”

Spontaneous Rupture of the Stomach in a Patient with Chronic Renal Failure on Hemodialysis

“…The catastrophic picture of spontaneous rupture of the esophagus in patients on HD has been only reported one time [3] while spontaneous rupture of the stomach has not yet been reported. In the general population, this picture is also very rare.…”