Boerhaave's syndrome in a patient with achalasia: A rare case report

Pirouz Samidoust; Mohammad Taghi Ashoobi; Manouchehr Aghajanzadeh; Mohammad Sadegh Esmaeili Delshad; Mohammad Haghighi

doi:10.1016/j.ijscr.2023.108183

Boerhaave's syndrome in a patient with achalasia: A rare case report

Int J Surg Case Rep. 2023 May:106:108183. doi: 10.1016/j.ijscr.2023.108183. Epub 2023 Apr 20.

Authors

Pirouz Samidoust¹, Mohammad Taghi Ashoobi¹, Manouchehr Aghajanzadeh², Mohammad Sadegh Esmaeili Delshad¹, Mohammad Haghighi¹

Affiliations

¹ Razi Clinical Research Development Unit, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran.
² Inflammatory Lung Diseases Research Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran. Electronic address: manouchehr.aghajanzadeh.md@gmail.com.

Abstract

Introduction and importance: Boerhaave's syndrome (BS) is a rare spontaneous perforation of the esophagus with a high rate of morbidity that results in death in the case of delayed diagnosis and treatment. Here, we describe a patient with achalasia who was diagnosed with BS.

Case presentation: This present case is a 63-year-old man with a previous history of achalasia and with a complaint of sudden onset of severe right chest pain, epigastric pain, etc. to Razi hospital, Rasht, Iran in March 2022.

Clinical discussion: Due to the clinical findings of the patients, the diagnosis was BS and the patient's condition was reported to be good at the two-month follow-up.

Conclusion: Early diagnosis of BS results in more effective treatment. Also, stenting is suggested to be effective to reduce the rate of morbidity and mortality in patients with BS.

Keywords: Achalasia; Boerhaave's syndrome; Esophageal perforation; Esophageal stenting.

Publication types

Case Reports