What causes Boerhaave syndrome?

Boerhaave syndrome was first reported by Hermann Boerhaave in 1724 as a case of esophageal rupture caused by vomiting after a large meal [1]. It is induced by increased esophageal pressure followed by straining, which can result from retching, vomiting, weightlifting, childbirth, or defecation [2].

How is Boerhaave syndrome treated?

Antibiotics: Imipenem/cilastatin or ticarcillin/clavulanate offer good broad-spectrum coverage. Nasogastric suction should be applied. Keep the patient nil per os (NPO). Adequate drainage with tube thoracostomy or formal thoracotomy is vital.

How painful is Boerhaave syndrome?

The classic presentation of Boerhaave syndrome is severe retrosternal chest and upper abdominal pain coupled with a history of significant retching or vomiting. These classic symptoms may be accompanied by a crunching, rasping sound occurring in synchrony with the heartbeat on auscultation, also known as Hamman’s sign.

How do you test for Boerhaave syndrome?

Symptoms consist of vomiting, lower thoracic pain, and subcutaneous emphysema. A provider should suspect Boerhaave’s syndrome when a patient presents with retrosternal chest pain with or without subcutaneous emphysema when associated with heavy alcohol intake and severe or repeated vomiting.

Can the esophagus explode?

Oesophageal rupture is a rare life-threatening condition that is difficult to diagnose and associated with a significant high mortality [1].

How do you pronounce boerhaave?

1. Phonetic spelling of boerhaave. Bo-er-haave.
2. Meanings for boerhaave. Boerhaave syndrome is a barogenic injury resulting from a sharp increase in the intraluminal pressure against a closed cricopharyngeus.
3. Examples of in a sentence.
4. Translations of boerhaave.

How does your esophagus burst?

Esophageal ruptures are tears that penetrate the wall of the esophagus. Ruptures can be caused by surgical procedures, severe vomiting, or swallowing a large piece of food that becomes stuck in the esophagus, but some ruptures occur spontaneously.

What is Pharyngocele?

Pharyngocele is a lateral pharyngeal wall herniation located in the pyriform recess or at the vallecula. It is a rare condition and the patient complains of dysphagia, lateral cervical mass which increases in size with the Valsalva maneuver, and other symptoms of the upper digestive way.

Can you tear your esophagus from swallowing?