An unusual case of chest pain. (20th February 2013)

• Record Type: Journal Article
• Authors: Ng, Peter
• Is Part Of: BMJ case reports. Volume 2013
• Publication Date: 2013-02-20
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2013-008849
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Boerhaave's syndrome is a rare but life-threatening condition characterised by spontaneous rupture of the oesophagus. Owing to its rarity, it is often not thought about as a cause for chest pain and is often admitted under a medical ward. This can lead to a delayed diagnosis with unfavourable outcomes. A 93-year-old female presented with severe atypical chest pain that was difficult to control. Her initial baseline tests were normal but her condition deteriorated and she desaturated through the night. A repeat chest x-ray showed right basal consolidation and pneumomediastinum. A diagnosis of Boerhaave's syndrome was made. She was unfortunately at this stage critically unwell and continued to deteriorate. She died 17 h after admission.