Boerhaave syndrome presenting as tension pneumothorax

First reported north American case

Saraschandra Vallabhajosyula, Pranathi R. Sundaragiri, Ilya Berim

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Tension pneumothorax is a rare and potentially life-threatening clinical complication. A 43-year-old Caucasian woman with type 1 diabetes mellitus presented with nausea and retching and examination revealed dehydration. Laboratory parameters were consistent with a diagnosis of diabetic ketoacidosis, which responded to therapy. Suddenly, 30 hours later, she developed cardiorespiratory compromise due to a tension pneumothorax. After emergent decompression and catheter placement, computerized tomographic scan of the chest demonstrated esophageal-pleural fistula confirming Boerhaave syndrome as the etiology for the pneumothorax. The patient underwent emergent esophagectomy with pleural washout with a subsequent gastric pull-up surgery. Boerhaave syndrome frequently presents atypically with chest pain, dyspnea, and nausea. It communicates with the left pleural space in 80% to 90% of cases, but

Original languageEnglish
Pages (from-to)349-352
Number of pages4
JournalJournal of Intensive Care Medicine
Volume31
Issue number5
DOIs
StatePublished - 2014

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Pneumothorax
Nausea
Esophageal Fistula
Diabetic Ketoacidosis
Esophagectomy
Decompression
Chest Pain
Type 1 Diabetes Mellitus
Dehydration
Dyspnea
Stomach
Thorax
Catheters
Boerhaave syndrome
Therapeutics

All Science Journal Classification (ASJC) codes

  • Critical Care and Intensive Care Medicine

Cite this

Boerhaave syndrome presenting as tension pneumothorax : First reported north American case. / Vallabhajosyula, Saraschandra; Sundaragiri, Pranathi R.; Berim, Ilya.

In: Journal of Intensive Care Medicine, Vol. 31, No. 5, 2014, p. 349-352.

Research output: Contribution to journalArticle

Vallabhajosyula, Saraschandra ; Sundaragiri, Pranathi R. ; Berim, Ilya. / Boerhaave syndrome presenting as tension pneumothorax : First reported north American case. In: Journal of Intensive Care Medicine. 2014 ; Vol. 31, No. 5. pp. 349-352.
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