Grassi R, Romano L, Diettrich A, Rossi G, Pinto A
Unita Sanitaria Locale N. 40-Ospedale A. Cardarelli Napoli 2. Servizio di Diagnostica per Immagini-Pad. Emergenza.
Aktuelle Radiol. 1995 Nov;5(6):360-2.
It is known that an acute postemetic injury may evoke a spontaneous rupture of the oesophagus. This spontaneous rupture may produce an intramural hematoma or a laceration of the oesophagus wall. The intramural hematoma is restricted to the esophageal wall and may produce a fistula into the lumen of the oesophagus (with creation of a double lumen) or into the mediastinum (haematoma of the mediastinum). On the other hand the rupture may extend from the mucosa (lesion of Mallory-Weiss) into the complete wall of the oesophagus (Boerhaave's Syndrome). There are reports on a lesion of the exterior muscular layer of the third distal half of the oesophagus, which had evoked an acute haemorrhage into the mediastinum and has been defined as a variant of Boerhaave's syndrome. We now describe a similar case which is confined to the cervical oesophagus and has been treated without surgical intervention.
众所周知，呕吐后急性损伤可能引发食管自发性破裂。这种自发性破裂可能导致壁内血肿或食管壁撕裂。壁内血肿局限于食管壁，可能形成通向食管腔的瘘管（形成双腔）或通向纵隔（纵隔血肿）。另一方面，破裂可能从黏膜（马-魏二氏病变）延伸至食管全层（博雷尔哈夫综合征）。有报道称食管远端三分之一的外层肌肉层发生病变，引发纵隔急性出血，被定义为博雷尔哈夫综合征的一种变体。我们现在描述一个类似病例，该病例局限于颈段食管，未经手术干预进行了治疗。
