Boerhaave's syndrome initially presented with sore throat and cough complicated by a bilateral pneumothorax

I Ould-Nana; M Szabo; H Farghadani; E Leyder; A Bodlet

Boerhaave's syndrome initially presented with sore throat and cough complicated by a bilateral pneumothorax

Acta Gastroenterol Belg. 2020 Apr-Jun;83(2):322-324.

Authors

I Ould-Nana^#¹, M Szabo^#¹, H Farghadani², E Leyder¹, A Bodlet¹

Affiliations

¹ Department of Pneumology, Clinique Saint Joseph, Arlon, Belgium.
² Department of General Surgery, Clinique Saint Joseph, Arlon, Belgium.

^# Contributed equally.

PMID: 32603054

Abstract

A 14-year-old male was admitted to the Emergency Department with sore throat and cough. One hour after his admission, he presented a hemodynamic compromise with a respiratory failure. The thoracic tomodensitometry highlighted a tension bilateral pneumothorax and mediastinum consecutive to an esophageal rupture in the left posterolateral wall also known as Boerhaave's syndrome which was treated successfully with a non-operative management. To avoid a recurrence of bilateral pneumothorax, a left pleuroscopy with talc pleurodesis was performed.

Keywords: Boerhaave Syndrome; hemodynamic compromise; tension bilateral pneumothorax.

Publication types

Case Reports

MeSH terms

Adolescent
Cough
Esophageal Perforation* / complications
Esophageal Perforation* / diagnosis
Humans
Male
Mediastinal Diseases* / complications
Mediastinal Diseases* / diagnosis
Pharyngitis* / etiology
Pneumothorax* / complications

Supplementary concepts

Boerhaave syndrome