Spontaneous Pharyngeal Perforation After Forceful Vomiting: The Difference from Classic Boerhaave's Syndrome
Boerhaave's syndrome is spontaneous transmural perforation of the esophagus, which occurs most often after forceful vomiting or retching. This commonly occurs in the lower third of the esophagus but spontaneous perforation of the pharynx or cervical esophagus is extremely rare. This case presen...
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Korean Society of Otorhinolaryngology-Head and Neck Surgery
2008-09-01
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Online Access: | http://www.e-ceo.org/upload/pdf/ceo-1-174.pdf |
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doaj-ae01d84a76b64c83ab8c23b6266b85392020-11-24T21:17:40ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202008-09-011317417610.3342/ceo.2008.1.3.17416Spontaneous Pharyngeal Perforation After Forceful Vomiting: The Difference from Classic Boerhaave's SyndromeJong-Lyel Roh0Chan Il Park1Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Otolaryngology-Head and Neck Surgery, Chungnam National University College of Medicine, Daejeon, Korea.Boerhaave's syndrome is spontaneous transmural perforation of the esophagus, which occurs most often after forceful vomiting or retching. This commonly occurs in the lower third of the esophagus but spontaneous perforation of the pharynx or cervical esophagus is extremely rare. This case presented a 20-yr-old healthy man with spontaneous pharyngeal perforation after forceful vomiting who had no history of instrumentation, cervical trauma, or having eaten anything sharp. Cervical pain and crepitus were the early symptom and sign of pharyngeal perforation and the rupture was detected on gastrografin swallow and CT examinations. The rupture site was higher than the upper esophageal sphincter, differing from Boerhaave's syndrome. The patient was conservatively managed without significant morbidity and mortality. Although this may resolve without surgical intervention, the pharyngeal rupture should receive early detection and clinical attention for preventing potential morbidity by late diagnosis.http://www.e-ceo.org/upload/pdf/ceo-1-174.pdfSpontaneous perforationPharynxBoerhaave's syndromeMechanismManagement |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jong-Lyel Roh Chan Il Park |
spellingShingle |
Jong-Lyel Roh Chan Il Park Spontaneous Pharyngeal Perforation After Forceful Vomiting: The Difference from Classic Boerhaave's Syndrome Clinical and Experimental Otorhinolaryngology Spontaneous perforation Pharynx Boerhaave's syndrome Mechanism Management |
author_facet |
Jong-Lyel Roh Chan Il Park |
author_sort |
Jong-Lyel Roh |
title |
Spontaneous Pharyngeal Perforation After Forceful Vomiting: The Difference from Classic Boerhaave's Syndrome |
title_short |
Spontaneous Pharyngeal Perforation After Forceful Vomiting: The Difference from Classic Boerhaave's Syndrome |
title_full |
Spontaneous Pharyngeal Perforation After Forceful Vomiting: The Difference from Classic Boerhaave's Syndrome |
title_fullStr |
Spontaneous Pharyngeal Perforation After Forceful Vomiting: The Difference from Classic Boerhaave's Syndrome |
title_full_unstemmed |
Spontaneous Pharyngeal Perforation After Forceful Vomiting: The Difference from Classic Boerhaave's Syndrome |
title_sort |
spontaneous pharyngeal perforation after forceful vomiting: the difference from classic boerhaave's syndrome |
publisher |
Korean Society of Otorhinolaryngology-Head and Neck Surgery |
series |
Clinical and Experimental Otorhinolaryngology |
issn |
1976-8710 2005-0720 |
publishDate |
2008-09-01 |
description |
Boerhaave's syndrome is spontaneous transmural perforation of the esophagus, which occurs most often after forceful vomiting or retching. This commonly occurs in the lower third of the esophagus but spontaneous perforation of the pharynx or cervical esophagus is extremely rare. This case presented a 20-yr-old healthy man with spontaneous pharyngeal perforation after forceful vomiting who had no history of instrumentation, cervical trauma, or having eaten anything sharp. Cervical pain and crepitus were the early symptom and sign of pharyngeal perforation and the rupture was detected on gastrografin swallow and CT examinations. The rupture site was higher than the upper esophageal sphincter, differing from Boerhaave's syndrome. The patient was conservatively managed without significant morbidity and mortality. Although this may resolve without surgical intervention, the pharyngeal rupture should receive early detection and clinical attention for preventing potential morbidity by late diagnosis. |
topic |
Spontaneous perforation Pharynx Boerhaave's syndrome Mechanism Management |
url |
http://www.e-ceo.org/upload/pdf/ceo-1-174.pdf |
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