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Paediatric Boerhaave’s syndrome: a rare but crucial diagnosis
The Egyptian Journal of Otolaryngology volume 32, pages 335–338 (2016)
Abstract
Boerhaave’s syndrome is typically seen in middle-aged male population. We report a case of a child who presented with sudden onset of left-sided oedema of the face and periorbital region. The child had a history of fever and throat pain, which started a day prior to the onset of swelling. On examination, the child had crepitus over the swelling on the left side of the face. Radiology showed pneumomediastinum and pneumothorax, and were treated with chest tube insertion. We present this case because of its rarity, unique presentation and need for prompt diagnosis, and discuss the literature.
References
Tamatey MN, Sereboe L, Tettey M, Entsua-Mensah K, Gyan B. Boerhaave’s syndrome: diagnosis and successful primary repair one month after the oesophageal perforation. Ghana Med J 2013; 47: 53–55.
Antonis JHA, Poeze M, Van Heurn LW. Boerhaave’s syndrome in children: a case report and review of the literature. J Pediatr Surg 2006; 41: 1620–1623.
Ezenkwele UA, Long CM. Esophageal rupture and tears in emergency medicine Medscape. 2011; Available at: http://emedicine.medscape.com/article/775165-overview.
Sabanathan S, Eng J, Richardson J. Surgical management of intrathoracic oesophageal rupture. Br J Surg 1884; 81: 863–865.
Ghanem N, Altehoefer C, Springer O, Furtwangler A, Kotter E, Schafer O, Langer M. Radiological findings in Boerhaave’s syndrome. Emerg Radiol 2003; 10: 8–13.
Pate JW, Walker WA, Cole FH, Owen EW, Johnson WH. Spontaneous rupture of the oesophagus: a 30-year experience. Ann Thorac Surg 1989; 5: 689–692.
Abbot A. Atraumatic so-called spontaneous rupture of the esophagus. J Thorac Cardiovasc Surg 1970; 59: 67.
Park MI, Camilleri M. Gastroparesis: clinical update. Am J Gastroenterol 2006; 101: 1129–1139.
Van Weyenberg SJ, Stam FJ, Marsman W. Successful endoscopic closure of spontaneous oesophageal rupture (Boerhaave syndrome). Gastrointest Endosc 2014; 80: 162.
Kobara H, Mori H, Rafiq K, Fujihara S, Nishiyama N, Kato K et al. Successful endoscopic treatment of Boerhaave syndrome using an over-the-scope clip. Endoscopy 2014; 46: E82–E83.
Curci JJ, Horman MJ. Boerhaave’s syndrome: the importance of early diagnosis and treatment. Ann Surg 1976; 183: 401–408.
Rao KS, Malla K, Singh A, Poudel S, Ganesh BK, Adhikari S et al. Boerhaave’s syndrome unusual presentation in a 4 month old infant, a case report and review of literature. Ann Pediatr Child Health 2015; 3: 1053.
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Mohammed, A.W., Saneeq, S., Kolakkadan, K. et al. Paediatric Boerhaave’s syndrome: a rare but crucial diagnosis. Egypt J Otolaryngol 32, 335–338 (2016). https://doi.org/10.4103/1012-5574.192551
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DOI: https://doi.org/10.4103/1012-5574.192551