Endoscopic Findings in Boerhaave's Syndrome: Report of three cases / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 698-705, 1998.
Article
em Ko
| WPRIM
| ID: wpr-216953
Biblioteca responsável:
WPRO
ABSTRACT
Boerhaave's syndrome, which was first described by Herman Boerhave in 1724, is a spontaneous esophagcal rupture resulting from severe nausea and vomiting. It is a very rare disorder, frequently developed in the 4th to 6th decade of life, and affects males more commonly than females. A typical clinical triad of chest pain, fever, and subcutaneous emphysema was manifested in only 20-30% of cases involving an esophageal rupture and most patients complained of many nonspecific symptoms such as dyspnea and hematemesis. In cases of vomiting resulting from alcohol ingestion, gastrofiberscopy can be performed in hematemetic patients under the assumption of upper gastrointestinal bleeding in most cases of Boerhaave's syndrome. We report 3 patients of Boerhaave's syndrome who visited our hospital because of hematemesis. Their endoscopic findings were, 1) a large, deep oval-shaped laceration with a sharp margin on the distal esophagus 2) a cavitary lesion with internal multiple hematomas and/or necrotic debris, and 3) a formation of air bubbles in the hematoma relating to respiration.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Respiração
/
Ruptura
/
Enfisema Subcutâneo
/
Vômito
/
Dor no Peito
/
Hematemese
/
Lacerações
/
Dispneia
/
Ingestão de Alimentos
/
Esôfago
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
/
Male
Idioma:
Ko
Revista:
Korean Journal of Gastrointestinal Endoscopy
Ano de publicação:
1998
Tipo de documento:
Article