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CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 4  |  Page : 264-266

Delayed and atypical presentation of Boerhaave's syndrome as epigastric mass


Department of General Surgery, Pt. BDS PGIMS, Rohtak, Haryana, India

Correspondence Address:
Dr. Mahavir Singh
11/11J (UH), Medical Campus, Pt. B.D. Sharma PGIMS, Rohtak - 124001, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JDRNTRUHS.JDRNTRUHS_55_20

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Boerhaave's syndrome (BS), also known as “spontaneous rupture of the esophagus,” is an emergent condition requiring early diagnosis and management to prevent associated morbidity and mortality. Mortality ranges between 20% and 40% with timely treatment but this rises to virtually 100% if treatment is delayed by more than 48 h.[1] The classical clinical triad of vomiting, chest pain, and subcutaneous emphysema classically described symptoms for BS, which is actually uncommon accounting for the frequently delayed diagnosis.[2] This article describes a case of this syndrome in which the actual diagnosis was made 1 month after the esophageal perforation because of delayed atypical presentation with epigastrium mass and was successfully managed.


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