Boerhaave’s syndrome describes a spontaneous rupture of the distal esophagial wall due to a sudden increase in intraesophageal pressure caused by forceful retching and vomiting. It is associated with a high risk of severe complications and mortality. Fast diagnosis and early surgical treatment combined with radiological interventions when indicated offer the best chance for a satisfactory outcome. The approach and extent of surgery must be planned according to the location of the lesion, the time interval, and the region of expected infection.
KeywordsEsophageal Perforation Spontaneous Rupture Subcutaneous Emphysema Esophageal Wall Early Surgical Treatment
- Boerhaave H (1724) Atrocis, nec descripti prius, morbis historia: Secundum medicae artis leges conscripta. Lugduni Batavorum; Ex officine BoutestenianaGoogle Scholar