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Vomiting-induced pneumomediastinum as a result of recurrent Boerhaave's syndrome

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Vomiting-induced pneumomediastinum can be a result of barotrauma causing alveolar rupture or Boerhaave's syndrome. Although a rare cause of secondary pneumomediastinum, Boerhaave's syndrome allows extravasation of air and fluid due to oesophageal perforation. We report a case of a 20-year-old female

[Mediastinitis on oesphagal perforation].

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Vomiting is less benign than it seems … Esophageal perforations and ruptures cause the contents of the esophageal lumen to leak into the cervical retroesophageal space, the mediastinum or the abdomen, which can trigger, among other adverse events, a mediastinitis, the diagnosis of which is difficult

[Gas gangrene mediastinitis after Boerhaave syndrome].

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Mediastinitis caused by infection with Clostridium perfringens and spontaneous rupture of the esophagus are both life threatening conditions. The combination of these two entities led to septic multiorgan failure in a 38-year-old woman. The patient was treated successfully by esophagectomy and

[Mediastinitis in a patient with eating disorder].

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Mediastinitis is a rare but life-threatening disorder. This infection, spreading from outside of the chest to the mediastinum, is most commonly derived from the pharynx or the teeth. In our patient, mediastinitis resulted from an eating disorder. She attempted to control her body weight by vomiting

A delayed presentation of Boerhaave's syndrome with mediastinitis managed using the over-the-scope clip.

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Boerhaave syndrome is a spontaneous perforation of the oesophagus secondary to forceful emesis. Surgery has been advocated in delayed presentations of Boerhaave's syndrome with mediastinitis. The over-the-scope clip (OTSC) by OVESCO(®) (Tubingen, Germany) has been used in the endoscopic management

Boerhaave's syndrome and tension pneumothorax secondary to Norovirus induced forceful emesis.

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Boerhaave's syndrome or spontaneous esophageal perforation is a rare condition, with high mortality. We describe a case of Boerhaave's syndrome presenting with tension pneumothorax. The patient was infected with Norovirus and developed Boerhaave's syndrome, initially thought to be gastroenteritis

Descending Necrotizing Mediastinitis Resulting from Pharyngitis with Perforation of the Aryepiglottic Fold.

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Descending necrotizing mediastinitis and pharyngeal perforation are uncommon complications of pharyngitis that are associated with high morbidity and mortality. This case report describes a previously healthy 18-year-old male who presented to the emergency room with 5 days of severe sore throat,

Esophageal perforation and mediastinitis after suicidal ingestion of 4.5% sodium hypochlorite [correction of hydrochlorite] bleach.

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A 16-year-old woman deliberately drank 4.5% sodium hypochlorite bleach. She was transferred to the emergency department after gastric lavage was performed at a local clinic. She experienced chest pain and fever after several vomiting episodes and esophagoscopy. Chest computerized tomography (CT)

Esophageal Perforation and Acute Bacterial Mediastinitis: Other Causes of Chest Pain That Can Be Easily Missed.

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Esophageal perforation is a rare condition that is commonly missed. Male gender and alcohol use are predisposing risk factors. Most of the cases are iatrogenic or traumatic; nonetheless, spontaneous cases are not uncommon. It typically occurs after vomiting or straining as the increased

[Vomiting, upper abdominal pain and sepsis].

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A 78-year-old man was admitted to a surgical emergency room because of an acute abdomen. He had vomited violently four times shortly after a meal. This episode was followed by severe upper abdominal and thoracic pain, radiating to the back. Clinical evaluation revealed epigastric peritoneal signs

Conservative approach to the mediastinitis in childhood secondary to esophageal perforation.

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The aim of this study was to evaluate the safety and efficacy of nonoperative treatment of esophageal perforation (EP) in children. Between 1999 and 2004, 13 episodes in 12 patients were evaluated. The treatment program consisted of broad-spectrum antibiotics, nasopharyngeal aspiration, parenteral

[Surgical treatment of distal esophageal perforation not due to a malignancy: results in 11 patients, University Medical Center Utrecht, 1994-1998].

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OBJECTIVE To describe the surgical treatment of distal oesophageal perforation and its results. METHODS Retrospective. METHODS From patient records data were collected on 11 patients, 6 men and 5 women (median age: 54 years; range: 21-76) who underwent surgery for distal oesophageal perforation in

[Surgical Techniques of Spontaneous Esophageal Rupture].

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Spontaneous esophageal rupture was first reported by Boerhaave in 1724 and typically occurs in conjunction with vomiting, retching, or swallowing a large food bolus. This condition is potentially life threatening and causes severe mediastinitis, empyema, and sepsis, unless appropriate and early

[Mallory-Weiss syndrome. Clinical cases and review of the literature].

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Once considered rare, Mallory-Weiss syndrome is today more frequently reported due to the introduction of endoscopy which reveals this syndrome in up to 15% of hemorrhages of the upper digestive tract. The etiopathogenesis is not limited to the three factors reported by Mallory and Weiss in 1929:

[A case of idiopathic esophageal perforation (Boerhaave's syndrome)].

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76 year-old man was transferred to emergency room because of severe epigastralgia and dyspnea. He was well until 5 hours before admission, when he suddenly felt severe epigastralgia followed by vomiting. He was found to be in warm shock state. Chest X-ray film showed dilation of mediastinum, pneumo

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