Article Text

Download PDFPDF

Spontaneous rupture of the oesophagus (Boerhaave's syndrome).
  1. D. Nehra,
  2. J. Beynon,
  3. J. K. Pye
  1. Department of Surgery, Maelor General Hospital, Wrexham, Clwyd, UK.


    Five cases of spontaneous rupture of the oesophagus are reported. All cases had surgery within 12 hours, and all survived, illustrating the value of early diagnosis in this rare condition. None had their diagnosis made before admission to the hospital. Myocardial infarction is the commonest misdiagnosis and frequently results in delayed treatment. We believe that a simple direct question to enquire of the patient whether or not vomiting preceded the onset of the severe pain would significantly reduce the rate of misdiagnosis.

    Statistics from

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.