Gupta Rakesh Kumar, Sah Panna Lal, Sah Suresh, Sapkota Sudeep
Department of Surgery, BP Koirala Institute of Health Sciences, Dharan, Sunsari, Nepal.
BMJ Case Rep. 2012 Jul 10;2012:bcr2012006368. doi: 10.1136/bcr-2012-006368.
Boerhaave's syndrome is the rare and often fatal condition of spontaneous oesophageal rupture. When present with atypical symptoms, diagnosis is frequently late, which contributes to the high morbidity and mortality. The authors describe a unique case of a 50-year-old man presented with atypical Boerhaave's syndrome, in which the diagnosis was made several days following presentation by observing a large pleural effusion that had evolved rapidly on chest radiographs. He was managed without thoracotomy. Although survival has been reported with non-operative management of contained oesophageal perforations, to our knowledge, this is the rare case report of surviving Boerhaave's syndrome with free pleural rupture, without thoracotomy.
博雷尔哈夫综合征是一种罕见且常致命的自发性食管破裂疾病。当出现非典型症状时，诊断往往较晚，这导致了高发病率和死亡率。作者描述了一例独特的病例，一名50岁男性表现为非典型博雷尔哈夫综合征，通过观察胸部X线片上迅速出现的大量胸腔积液，在就诊几天后做出诊断。他未接受开胸手术进行治疗。虽然有报道称对于局限性食管穿孔采用非手术治疗可存活，但据我们所知，这是一例罕见的博雷尔哈夫综合征伴游离性胸膜破裂且未行开胸手术而存活的病例报告。
