| 摘要 |
Spontaneous esophageal perforation (Boerhaave’s syndrome) is an uncommon and
potentially lethal condition that continues to pose a challenge both in diagnosis and
treatment. It requires early diagnosis and immediate surgical intervention to prevent
fulminant mediastinitis and septic shock, but clinical manifestations of this
emergency are not specific and are often misleading. Thus, delayed diagnosis occurs
frequently, and this condition is associated with a high mortality rate. We report a
case of spontaneous rupture of the esophagus in a 39-year-old female, who presented
to our emergency room with severe chest pain and dyspnea following self-induced
vomiting. An initial chest radiograph revealed pneumomediastinum, and a rightsided
pleural effusion was seen on another chest radiograph 3 hours later. A CT scan
of the chest with a water-soluble oral contrast confirmed an intra-thoracic
esophageal leak, and the patient underwent an emergency operation for primary
repair. After a 25-day hospital stay, she was discharged without significant sequels
and has now been followed up at the outpatient department for 4 months. |
