Boerhaave syndrome

(redirected from Oesophageal rupture)

Boer·haa·ve syn·drome

(būr'hah-vē),
rupture of the esophagus caused by increased intraluminal pressure and distention during retching or vomiting; results in mediastinitis. The rupture most often occurs in the left pleural space.

Boerhaave syndrome

A clinical emergency consisting of a transmural laceration of the lower oesophagus that occurs spontaneously during retching, which in turn may be related to excess alcohol consumption, or secondary due to reflux oesophagitis, endoscopy, CPR, trauma, vagotomy or presence of a foreign body. It is more common in patients with pre-existing oesophageal disease—e.g., reflux oesophagitis.
 
Clinical findings
Abrupt chest pain, which may radiate to the neck, accompanied by shock, sepsis and death within 48 hours if untreated; 70% survival has been reported if diagnosed and treated early.

Boerhaave syndrome

Traumatic rupture of the lower esophagus after major blunt chest trauma, CPR or forceful protracted vomiting; BS is more common in Pts with pre-existing esophageal disease–eg, reflux esophagitis Clinical Abrupt chest pain, which may radiate to the neck, accompanied by shock, sepsis, death within 48 hrs if untreated

Boer·haa·ve syn·drome

(būr'hah-vē sin'drōm)
Spontaneous rupture of the lower esophagus, a variant of Mallory-Weiss syndrome.

Boerhaave,

Hermann, Dutch physician, 1668-1738.
Boerhaave glands - Synonym(s): sweat glands
Boerhaave syndrome - spontaneous rupture of the lower esophagus, a variant of Mallory-Weiss syndrome.
References in periodicals archive ?
Long-standing BN may lead to medical complications including oesophageal rupture. (1) Achalasia is characterised by oesophageal aperistalsis and increased resting pressure with partial or incomplete relaxation of the lower oesophageal sphincter.
However, few conditions with elevated amylase levels in pleural fluid is known which includes lung adenocarcinoma, female genital cancers, other solid organ cancers, oesophageal rupture. In these conditions, the amylase in pleural fluid is mildly elevated unlike in pancreaticopleural fistula where amylase elevated in thousands in pleural fluid.
"The family's main issues are the diagnosis she had on the 17th, that she did not receive a CT scan and, if she had been scanned, whether the oesophageal rupture would have been picked up," she said.
The classic presentation of spontaneous oesophageal rupture is chest pain and subcutaneous emphysema after recent vomiting or retching (Mackler's triad) in a middle-aged man with a history of dietary over-indulgence and over consumption of alcohol.
Spontaneous oesophageal rupture typically follows prolonged or forceful vomiting, more commonly occurs in males age 40-60 years, and patients who have a strong history of dietary over-indulgence and excessive alcohol consumption.