Boerhaave's Syndrome

Question 1

What is Boerhaave’s

Answer 1

Rupture of oesophagus that occurs as a result of repeated episodes of vomiting.

Question 2

Where is the site that rupture usually occurs

Answer 2

Distally sited and on the left side

Question 3

Symptoms of Boerhaave’s syndrome

Answer 3

Sudden onset severe chest pain that may complicate severe vomiting. Subcutaneous emphysema may be observed on chest wall

Question 4

Diagnosis of oesophogeal rupture

Answer 4

CT contrast swallow

Question 5

Treatment of Boerhaave’s syndrome

Answer 5

Thoracotomy and lavage.
Less than 12 hours onset - primary repair feasible, insertion of T tube if after 12 hours.

Question 6

Complications of boerhaaves syndrome

Answer 6

Severe sepsis occurs secondary to mediatstinitis