慢性型布氏综合征表现。
Chronic presentation of Boerhaave's syndrome.
机构信息
Department of Internal Medicine, San Joaquin County Hospital, 500 West hospital road, French Camp, California 95231, USA.
出版信息
BMC Gastroenterol. 2010 Mar 12;10:29. doi: 10.1186/1471-230X-10-29.
BACKGROUND
Spontaneous rupture of the esophagus (Boerhaave's syndrome) is a rare, well-defined clinical syndrome caused by a longitudinal perforation of the esophagus. It is a life-threatening condition that necessitates rapid diagnosis and treatment. Patients typically present acutely with a history of vomiting followed by chest or abdominal pain. However, the diagnosis may be difficult or missed when patients present with chronic symptoms that mimic other conditions.
CASE PRESENTATION
In this report, we present a unique case of Boerhaave's syndrome in a 53-year-old male patient. In contrast to the more common acute presentation, our patient developed non-specific symptoms in association with an intrathoracic cyst. In this report, we will also review the usual presenting signs, symptoms, and treatment of Boerhaave's syndrome.
CONCLUSION
Our emphasis in this paper will be on the importance of recognizing and diagnosing Boerhaave's syndrome in an acute as well as a chronic state.
背景
自发性食管破裂（Boerhaave 综合征）是一种罕见的、明确的临床综合征，由食管的纵向穿孔引起。这是一种危及生命的疾病，需要快速诊断和治疗。患者通常表现为急性呕吐后出现胸痛或腹痛。然而，当患者出现类似于其他疾病的慢性症状时，诊断可能会很困难或被遗漏。
病例介绍
本报告介绍了一例 53 岁男性患者的 Boerhaave 综合征的独特病例。与更常见的急性表现不同，我们的患者出现了与胸腔内囊肿相关的非特异性症状。在本报告中，我们还将回顾 Boerhaave 综合征的常见表现体征、症状和治疗方法。
结论
我们在本文中的重点将是认识和诊断急性和慢性 Boerhaave 综合征的重要性。
Zotero 插件