Boerhaave Syndrome Flashcards

1
Q

What is boerhaaves syndrome?

A

Spontaneous rupture of the oesophagus as a result of repeated episodes of vomiting

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2
Q

Where does boerhaave syndrome usually occur?

A

Oesophagus
Rupture is usually distally sited and on the left

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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.

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4
Q

What is used to diagnose boerhaaves syndrome?

A

CT contrast swallow

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5
Q

What is the treatment of boerhaave syndrome?

A

Thoracotomy and lovage if less than 12hours onset

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6
Q

What is a main complication of boerhaave syndrome?

A

Sever sepsis

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