Barnett Dylan, Kinnear Ned, Yao Henry Han-I, Chee Justin
Department of Urology, Royal Adelaide Hospital, Adelaide, Australia.
Department of Urology, Footscray Hospital, Footscray, Melbourne, Australia.
Transl Androl Urol. 2020 Apr;9(2):828-830. doi: 10.21037/tau.2019.12.11.
Boerhaave syndrome is the spontaneous rupture of the oesophagus, usually due to vomiting. The condition is rare but can be fatal. A 30-year-old male presented with vomiting and pain in his left flank and chest. Computed tomography scanning of the chest, abdomen and pelvic revealed a 4 mm left proximal ureteric stone and pneumo-mediastinum due to oesophageal rupture, consistent with Boerhaave syndrome. The patient underwent insertion of left ureteric stent, with staged left ureteroscopy and laser lithotripsy. The patient's oesophageal rupture was managed conservatively, and he made a full recovery. This is only the second report of renal colic causing Boerhaave syndrome.
博雷尔哈夫综合征是食管自发性破裂，通常由呕吐引起。这种情况很罕见，但可能致命。一名30岁男性出现呕吐以及左腰和胸部疼痛。胸部、腹部和盆腔的计算机断层扫描显示左近端输尿管有一颗4毫米的结石，以及因食管破裂导致的纵隔积气，符合博雷尔哈夫综合征。患者接受了左输尿管支架置入术，并分期进行了左输尿管镜检查和激光碎石术。患者的食管破裂采用保守治疗，已完全康复。这是第二例关于肾绞痛导致博雷尔哈夫综合征的报告。
