Mediastinitis secondary to esophageal rupture; A case of Boerhaave syndrome

Boerhaave syndrome is caused by spontaneous, vertical tears, which are most commonly seen in the distal esophagus. Boerhaave syndrome may develop after vomiting, severe cough, blunt trauma, and difficulty swallowing. In our study, we aimed to present a 66-year-old male who developed mediastinitis secondary to Boerhaave syndrome and was admitted to the emergency department of a secondary-level public hospital. In our case, despite early exploration, esophageal repair, mediastinal debridement, and subsequent esophageal stent application to the perforation, the condition was mortal. In this rare syndrome, surgical repair to the esophagus can be done within the first 24-48 h.