| Spontaneous Pharyngeal Perforation After Forceful Vomiting: The Difference from Classic Boerhaave's Syndrome. | |
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MedLine Citation:
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PMID: 19434253 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Jong-Lyel Roh; Chan Il Park |
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Publication Detail:
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Type: Journal Article Date: 2008-09-30 |
Journal Detail:
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Title: Clinical and experimental otorhinolaryngology Volume: 1 ISSN: 1976-8710 ISO Abbreviation: Clin Exp Otorhinolaryngol Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2009-05-12 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101474010 Medline TA: Clin Exp Otorhinolaryngol Country: Korea (South) |
Other Details:
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Languages: eng Pagination: 174-6 Citation Subset: - |
Affiliation:
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Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. |
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