Reevaluation of the Boerhaave syndrome

Oesophageal perforation: an unusual complication of a hypoglycaemic episode.

“…It has been suggested that if the oesophagus is diseased a complete tear results due to weakened oesophageal musculature or fibrosis. In a series reported by Patton et al (1979), 13 out of 14 patients had a previous history of hiatus hernia or duodenal ulceration. Walker (1985) reported that preceding gastrointestinal upset was a common feature in his series.…”

“…Foreign body ingestion, iatrogenic causes and underlying oesophageal pathology are aetiological factors predisposing to oesophageal perforation (Patton et al, 1979). These have an understandable link.…”

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

“…Tachycardia, tachypnea, abdominal tenderness, and shock are common findings. The term 'spontaneous' is not entirely accurate [2,3] in that the perforation occurs most often (75%) in a previously diseased esophagus. Usually there is a history of some form of indigestion and gastric distress secondary to esophagitis and hiatal her nia.…”

“…Usually there is a history of some form of indigestion and gastric distress secondary to esophagitis and hiatal her nia. There is also an association with alcoholism, peptic ulcer disease, neurological disorders, and severe hyper tension [2,3,7].…”

“…It usually occurs in alcoholics or in patients with an underlying esophageal pathology [1][2][3]. This syn drome has never been described in a patient on hemodial ysis.…”