Cardiocare Specialty Hospital, Limi Hospital, Abuja, Nigeria.
Pan Afr Med J. 2021 Jan 21;38:74. doi: 10.11604/pamj.2021.38.74.27031. eCollection 2021.
Boerhaave's syndrome is an uncommon syndrome characterized by spontaneous rupture of the oesophagus with a high mortality rate. While excessive alcohol intake and binge-eating are the classic precipitants of this syndrome, medication-induced vomiting causing Booerhave's is quite uncommon. Traditionally managed operatively, conservative management is being increasingly reported in selected cases. We report the case of 21-year-old male with who developed sudden onset chest pain and dyspnoea after pentazocine induced vomiting. He was referred after lack of response to initial treatment for acute severe asthma. A chest CT scan showed pneumomediastinum, subcutaneous emphysema and oesophageal tear. He was managed conservatively with oxygen therapy, nil per mouth and antibiotics with improvement of symptoms and discharge after 8 days.
布鲁氏综合征是一种不常见的综合征，其特征为自发性食管破裂，死亡率高。虽然过度饮酒和暴食是该综合征的经典诱因，但药物引起的呕吐导致布鲁氏综合征则较为少见。传统上采用手术治疗，而在某些特定情况下，保守治疗的报道也越来越多。我们报告了一例 21 岁男性患者，他在服用戊四唑诱导呕吐后突发胸痛和呼吸困难。他因急性重症哮喘初始治疗后无反应而被转介。胸部 CT 扫描显示纵隔气肿、皮下气肿和食管撕裂。他接受了氧疗、禁食和抗生素的保守治疗，症状改善，8 天后出院。
