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Boerhaave's syndrome during bowel preparation with polyethylene glycol in a patient with postpolypectomy bleeding
Ji-Youn Yu1, Seung-Kyoung Kim, Eun-Chul Jang
1Ji-Youn Yu, Seung-Kyoung Kim, Eun-Chul Jang, Ju-Ok Yeom, Sun-Young Kim, Young-Seok Cho, Division of Gastroenterology, Department of Internal Medicine, Uijeongbu St. Hospital, the Catholic University of Korea College of Medicine, Uijeongbu 480-717, South Korea.
Abstract:
Boerhaave's syndrome is spontaneous rupture of the esophagus, a rare condition with high mortality that occurs most often after forceful vomiting. Polyethylene glycol (PEG) solution is the most common preparation used for colonoscopy. Since large volumes have to be ingested, PEG may induce severe vomiting or retching. However, Boerhaave's syndrome has rarely been reported as a potential problem related to PEG solution. We report a case of spontaneous esophageal rupture due to violent vomiting during bowel preparation with PEG solution in a patient with postpolypectomy bleeding.
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