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[Upper abdominal pain caused by oesophageal perforation]
Bastian Neesgaard1, Anne-Sophie Sejling, Lene Arguimbau Ostenfeld-Møller
1bastian.sven@gmail.com.
Ugeskrift for Laeger
|November 8, 2017
Summary
Boerhaave's syndrome, or spontaneous esophageal perforation, is a serious condition often diagnosed late due to its similar symptoms to common chest and abdominal pain. Early consideration is key for better outcomes in patients with acute pain.
Area of Science:
- Gastroenterology
- Thoracic Surgery
- Emergency Medicine
Background:
- Boerhaave's syndrome, a spontaneous esophageal perforation, carries high mortality rates.
- Delayed diagnosis is common as symptoms mimic frequent causes of chest and abdominal pain.
Observation:
- A case report details a patient experiencing severe upper abdominal and back pain after retching.
- The patient's symptoms were triggered by an attempt to dislodge stuck candy in the esophagus.
Findings:
- The case highlights the diagnostic challenge of Boerhaave's syndrome.
- Esophageal perforation should be considered in acute chest or upper abdominal pain presentations.
Implications:
- Timely diagnosis and treatment initiation are crucial for improving patient outcomes.
- Clinicians should maintain a high index of suspicion for Boerhaave's syndrome in relevant clinical scenarios.
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