Korean J Gastrointest Endosc.  2002 Apr;24(4):250-254.

A Case of Nonsurgical Treatment in Boerhaave's Syndrome Concomitantly Developed with Acute Pancreatitis

Affiliations
  • 1Department of Internal Medicine, Soon Chun Hyang University College of Medicine, Cheonan Hospital, Cheonan, Korea.

Abstract

Spontaneous rupture of the esophagus is an uncommon disease which was first reported by Boerhaave in 1724. This esophageal rupture usually occurs during nausea or vomiting, with incoordinate esophageal contraction. Early diagnosis and prompt surgical repair are critical for survival; however late recognition of esophageal rupture is not unusual. In recent years, a variety of nonsurgical approaches have been proposed, particularily in the case of delayed diagnosis. We have experienced one case of Boerhaave's syndrome concomitantly developed with acute pancreatitis which was successfully treated by nonsurgical measures including endoscopic clipping, antibiotics and hyperalimentation. We review the choice of treatment method in delayed diagnosed Boerhaave's syndrome.

Keyword

Boerhaave's syndrome; Esophageal rupture; Endoscopic clipping

MeSH Terms

Anti-Bacterial Agents
Delayed Diagnosis
Early Diagnosis
Esophagus
Nausea
Pancreatitis*
Rupture
Rupture, Spontaneous
Vomiting
Anti-Bacterial Agents
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