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一例保守治疗的Boerhaave综合征病例报告

A Case Report of Conservatively Managed Boerhaave Syndrome.

作者信息

Mahant Srushti S, Lanjewar Ajay

机构信息

Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

Department of Respiratory Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, IND.

出版信息

Cureus. 2024 Feb 29;16(2):e55225. doi: 10.7759/cureus.55225. eCollection 2024 Feb.

DOI:10.7759/cureus.55225
PMID:38558701
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10981385/
Abstract

Boerhaave syndrome is an esophagal perforation due to a rupture of the esophagus wall caused by intense vomiting with mediastinitis and subcutaneous emphysema. It is a relatively rare and potentially life-threatening ailment that requires prompt diagnosis and treatment. This case presents an overview of the syndrome, including morbidity, mortality, and treatment strategy. In this case, a 56-year-old male presented to the hospital during emergency hours with shortness of breath, chest pain, and dullness in the neck and a history of binge alcohol abuse seven days ago, followed by a severe bout of vomiting. The patient was managed conservatively, requiring another hospitalization for surgery, and was later discharged from the hospital postoperatively without any complications.

摘要

博雷尔哈夫综合征是一种因剧烈呕吐导致食管壁破裂，进而引发纵隔炎和皮下气肿的食管穿孔疾病。它是一种相对罕见且可能危及生命的疾病，需要及时诊断和治疗。本病例概述了该综合征，包括发病率、死亡率和治疗策略。在此病例中，一名56岁男性在急诊时段因呼吸急促、胸痛、颈部钝痛入院，有7天前酗酒史，随后出现剧烈呕吐。该患者接受了保守治疗，后因手术再次住院，术后出院且无任何并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/785e24663247/cureus-0016-00000055225-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/4cae863aade5/cureus-0016-00000055225-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/82dad6c82048/cureus-0016-00000055225-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/1125df0e19a4/cureus-0016-00000055225-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/20a5b9242eec/cureus-0016-00000055225-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/b4eaa009e6b0/cureus-0016-00000055225-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/e7da19270131/cureus-0016-00000055225-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/b57d53eb0e54/cureus-0016-00000055225-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/296aee7a1cf4/cureus-0016-00000055225-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/bb899f682df1/cureus-0016-00000055225-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/785e24663247/cureus-0016-00000055225-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/4cae863aade5/cureus-0016-00000055225-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/82dad6c82048/cureus-0016-00000055225-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/1125df0e19a4/cureus-0016-00000055225-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/20a5b9242eec/cureus-0016-00000055225-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/b4eaa009e6b0/cureus-0016-00000055225-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/e7da19270131/cureus-0016-00000055225-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/b57d53eb0e54/cureus-0016-00000055225-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/296aee7a1cf4/cureus-0016-00000055225-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/bb899f682df1/cureus-0016-00000055225-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7804/10981385/785e24663247/cureus-0016-00000055225-i10.jpg

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