Boerhaave Syndrome Flashcards
1
Q
What is it?
A
life-threatening condition causes by a full thickness rupture of the oesophagus
2
Q
Clinical Features
A
middle aged alcoholic men after repeating vomiting. It presents as:
Severe chest pain worse on swallowing Little/no haematemsis Signs of shock Subcutaneous emphysema Pneumomediastinum Pleural effusions Pneumothorax on x-ray
3
Q
Investigation
A
CT or water soluble contrast studies can be helpful for locating the perforation
OGD is avoided because of the risk of worsening the perforation.
4
Q
Management
A
IV fluid resuscitation
IV antibiotics to cover/treat mediastinitis
Surgical correction
