Abstract
We describe two patients with Boerhaave's syndrome who presented with chest pain mimicking cardiac pain and received heparin therapy. One patient developed large intramural esophageal hematoma as a complication of heparin therapy. The other patient had no hematoma and his course was dominated by esophageal rupture. Both were managed conservatively.
MeSH terms
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Aged
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Diagnosis, Differential
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Esophageal Diseases / diagnosis*
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Female
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Gastrointestinal Hemorrhage / chemically induced*
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Heparin / adverse effects*
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Heparin / therapeutic use
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Humans
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Male
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Middle Aged
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Myocardial Infarction / diagnosis*
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Myocardial Infarction / drug therapy
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Pulmonary Embolism / diagnosis*
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Pulmonary Embolism / drug therapy
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Risk Assessment
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Rupture, Spontaneous / diagnosis
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Syndrome