Kortli Said, Andrianjafy Hery
Emergency Department, Arpajon General Hospital, Arpajon, France.
Int J Emerg Med. 2024 May 8;17(1):62. doi: 10.1186/s12245-024-00642-0.
Boerhaave's syndrome, also known as spontaneous esophageal rupture, is a rare but life-threatening condition characterized by a tear in the esophagus. It is most commonly caused by a sudden increase in intraesophageal pressure, often due to severe vomiting or retching.Early diagnosis of Boerhaave's syndrome is crucial for improving patient outcomes. The classic triad of symptoms includes severe chest pain, vomiting, and subcutaneous emphysema (air under the skin). However, not all patients present with this triad, and the diagnosis can be challenging, especially in patients without the typical symptoms.In this case report, we present the clinical details of a 52-year-old male patient who presented to the emergency department (ED) with severe abdominal pain and vomiting for several days. The patient had a history of chronic alcohol abuse and a recent episode of vigorous vomiting.
博赫哈夫综合征，也称为自发性食管破裂，是一种罕见但危及生命的疾病，其特征是食管撕裂。它最常见的原因是食管内压力突然升高，通常是由于剧烈呕吐或干呕所致。博赫哈夫综合征的早期诊断对于改善患者预后至关重要。典型的三联征症状包括严重胸痛、呕吐和皮下气肿（皮下有气体）。然而，并非所有患者都出现这种三联征，诊断可能具有挑战性，尤其是在没有典型症状的患者中。在本病例报告中，我们介绍了一名52岁男性患者的临床细节，该患者因严重腹痛和呕吐数天而就诊于急诊科。该患者有慢性酒精滥用史，近期有剧烈呕吐发作。
