Cargando…
Vomiting-induced pneumomediastinum as a result of recurrent Boerhaave’s syndrome
Vomiting-induced pneumomediastinum can be a result of barotrauma causing alveolar rupture or Boerhaave’s syndrome. Although a rare cause of secondary pneumomediastinum, Boerhaave’s syndrome allows extravasation of air and fluid due to oesophageal perforation. We report a case of a 20-year-old female...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263754/ https://www.ncbi.nlm.nih.gov/pubmed/32509266 http://dx.doi.org/10.1093/jscr/rjaa102 |
_version_ | 1783540847520776192 |
---|---|
author | Kyriakides, Jonathon Stackhouse, Ashlyn |
author_facet | Kyriakides, Jonathon Stackhouse, Ashlyn |
author_sort | Kyriakides, Jonathon |
collection | PubMed |
description | Vomiting-induced pneumomediastinum can be a result of barotrauma causing alveolar rupture or Boerhaave’s syndrome. Although a rare cause of secondary pneumomediastinum, Boerhaave’s syndrome allows extravasation of air and fluid due to oesophageal perforation. We report a case of a 20-year-old female who presented with prolonged vomiting during a panic attack. Extensive surgical emphysema and pneumomediastinum were visualised radiologically. A source of oesophageal rupture was not visualised on cross-sectional computed tomography imaging following contrast ingestion. A complication of mediastinitis provided the evidence that this was a case of Boerhaave’s syndrome whereby microscopic perforation of the oesophagus led to secondary pneumomediastinum, rather than vomiting-induced spontaneous pneumomediastinum caused by barotrauma. Recurrent Boerhaave’s syndrome in this case is owed to the patient having previously experienced identical symptoms which spontaneously resolved. |
format | Online Article Text |
id | pubmed-7263754 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-72637542020-06-04 Vomiting-induced pneumomediastinum as a result of recurrent Boerhaave’s syndrome Kyriakides, Jonathon Stackhouse, Ashlyn J Surg Case Rep Case Report Vomiting-induced pneumomediastinum can be a result of barotrauma causing alveolar rupture or Boerhaave’s syndrome. Although a rare cause of secondary pneumomediastinum, Boerhaave’s syndrome allows extravasation of air and fluid due to oesophageal perforation. We report a case of a 20-year-old female who presented with prolonged vomiting during a panic attack. Extensive surgical emphysema and pneumomediastinum were visualised radiologically. A source of oesophageal rupture was not visualised on cross-sectional computed tomography imaging following contrast ingestion. A complication of mediastinitis provided the evidence that this was a case of Boerhaave’s syndrome whereby microscopic perforation of the oesophagus led to secondary pneumomediastinum, rather than vomiting-induced spontaneous pneumomediastinum caused by barotrauma. Recurrent Boerhaave’s syndrome in this case is owed to the patient having previously experienced identical symptoms which spontaneously resolved. Oxford University Press 2020-06-01 /pmc/articles/PMC7263754/ /pubmed/32509266 http://dx.doi.org/10.1093/jscr/rjaa102 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Kyriakides, Jonathon Stackhouse, Ashlyn Vomiting-induced pneumomediastinum as a result of recurrent Boerhaave’s syndrome |
title | Vomiting-induced pneumomediastinum as a result of recurrent Boerhaave’s syndrome |
title_full | Vomiting-induced pneumomediastinum as a result of recurrent Boerhaave’s syndrome |
title_fullStr | Vomiting-induced pneumomediastinum as a result of recurrent Boerhaave’s syndrome |
title_full_unstemmed | Vomiting-induced pneumomediastinum as a result of recurrent Boerhaave’s syndrome |
title_short | Vomiting-induced pneumomediastinum as a result of recurrent Boerhaave’s syndrome |
title_sort | vomiting-induced pneumomediastinum as a result of recurrent boerhaave’s syndrome |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263754/ https://www.ncbi.nlm.nih.gov/pubmed/32509266 http://dx.doi.org/10.1093/jscr/rjaa102 |
work_keys_str_mv | AT kyriakidesjonathon vomitinginducedpneumomediastinumasaresultofrecurrentboerhaavessyndrome AT stackhouseashlyn vomitinginducedpneumomediastinumasaresultofrecurrentboerhaavessyndrome |