Spontaneous distal esophageal perforation following vomiting or other violent straining
IMAGING
General Features
Radiographic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Ali D et al: Abrupt severe chest pain and vomiting: remember to think of a ruptured oesophagus (Boerhaave syndrome). Eur J Case Rep Intern Med. 6(10):001265, 2019
Chirica M et al: Esophageal emergencies: WSES guidelines. World J Emerg Surg. 14:26, 2019
Aloreidi K et al: Non-surgical management of Boerhaave's syndrome: a case series study and review of the literature. Endosc Int Open. 6(1):E92-7, 2018
Pinto MJF et al: Boerhaave syndrome in an elderly man. Eur J Case Rep Intern Med. 5(10):000944, 2018
Dasari BV et al: The role of esophageal stents in the management of esophageal anastomotic leaks and benign esophageal perforations. Ann Surg. 259(5):852-60, 2014
Biancari F et al: Current treatment and outcome of esophageal perforations in adults: systematic review and meta-analysis of 75 studies. World J Surg. 37(5):1051-9, 2013
de Schipper JP et al: Spontaneous rupture of the oesophagus: Boerhaave's syndrome in 2008. Literature review and treatment algorithm. Dig Surg. 26(1):1-6, 2009
Young CA et al: CT features of esophageal emergencies. Radiographics. 28(6):1541-53, 2008
Zisis C et al: Stent placement in the management of oesophageal leaks. Eur J Cardiothorac Surg. 33(3):451-6, 2008
Ghassemi KF et al: Endoscopic treatment of Boerhaave syndrome using a removable self-expandable plastic stent. J Clin Gastroenterol. 41(9):863-4, 2007
De Lutio di Castelguidone E et al: Role of Spiral and Multislice Computed Tomography in the evaluation of traumatic and spontaneous oesophageal perforation. Our experience. Radiol Med. 109(3):252-9, 2005
Rubesin SE et al: Radiologic diagnosis of gastrointestinal perforation. Radiol Clin North Am. v, 41(6):1095-115, 2003
Gimenez A et al: Thoracic complications of esophageal disorders. Radiographics. 22 Spec No:S247-58, 2002
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KEY FACTS
Imaging
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Clinical Issues
TERMINOLOGY
Definitions
Spontaneous distal esophageal perforation following vomiting or other violent straining
IMAGING
General Features
Radiographic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Ali D et al: Abrupt severe chest pain and vomiting: remember to think of a ruptured oesophagus (Boerhaave syndrome). Eur J Case Rep Intern Med. 6(10):001265, 2019
Chirica M et al: Esophageal emergencies: WSES guidelines. World J Emerg Surg. 14:26, 2019
Aloreidi K et al: Non-surgical management of Boerhaave's syndrome: a case series study and review of the literature. Endosc Int Open. 6(1):E92-7, 2018
Pinto MJF et al: Boerhaave syndrome in an elderly man. Eur J Case Rep Intern Med. 5(10):000944, 2018
Dasari BV et al: The role of esophageal stents in the management of esophageal anastomotic leaks and benign esophageal perforations. Ann Surg. 259(5):852-60, 2014
Biancari F et al: Current treatment and outcome of esophageal perforations in adults: systematic review and meta-analysis of 75 studies. World J Surg. 37(5):1051-9, 2013
de Schipper JP et al: Spontaneous rupture of the oesophagus: Boerhaave's syndrome in 2008. Literature review and treatment algorithm. Dig Surg. 26(1):1-6, 2009
Young CA et al: CT features of esophageal emergencies. Radiographics. 28(6):1541-53, 2008
Zisis C et al: Stent placement in the management of oesophageal leaks. Eur J Cardiothorac Surg. 33(3):451-6, 2008
Ghassemi KF et al: Endoscopic treatment of Boerhaave syndrome using a removable self-expandable plastic stent. J Clin Gastroenterol. 41(9):863-4, 2007
De Lutio di Castelguidone E et al: Role of Spiral and Multislice Computed Tomography in the evaluation of traumatic and spontaneous oesophageal perforation. Our experience. Radiol Med. 109(3):252-9, 2005
Rubesin SE et al: Radiologic diagnosis of gastrointestinal perforation. Radiol Clin North Am. v, 41(6):1095-115, 2003
Gimenez A et al: Thoracic complications of esophageal disorders. Radiographics. 22 Spec No:S247-58, 2002
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