Boerhaave Syndrome Flashcards
1
Q
What is boerhaaves syndrome?
A
Spontaneous rupture of the oesophagus as a result of repeated episodes of vomiting
2
Q
Where does boerhaave syndrome usually occur?
A
Oesophagus
Rupture is usually distally sited and on the left
3
Q
What are the presenting features of boerhaaves syndrome? (2)
A
• Patients usually give a history of sudden onset of severe chest pain that may complicate severe vomiting.
• Subcutaneous emphysema may be observed on the chest wall.
4
Q
What is used to diagnose boerhaaves syndrome?
A
CT contrast swallow
5
Q
What is the treatment of boerhaave syndrome?
A
Thoracotomy and lovage if less than 12hours onset
6
Q
What is a main complication of boerhaave syndrome?
A
Sever sepsis