The Difficulties of Diagnostics of Diseases of the Oesophagus: Spontaneous Rupture of the Oesophagus (Boerhaave's Syndrome)

Abstract

Objective of the Paper: To present a clinical observation of a spontaneous rupture of the esophagus (Boerhaave's syndrome).
Key points. A feature of this observation was the patient's admission to the clinic in a disturbance of consciousness, which did not allow to identify the classic triad of signs of this pathological condition and make a diagnosis during the patient's life. The patient had no history of diseases of the esophagus, it is not known whether she abused alcohol. Fibrogastroduodenoscopy did not show reliable signs of rupture of the esophagus. The absence of clear clinical symptoms and a detailed history led to the fact that fluoroscopy of the esophagus with its contrasting barium suspension, which provides the most informative evidence of Boerhaave's syndrome, was not prescribed.
Conclusion. The authors urge physicians to include Boerhaave's syndromein the differential diagnosis in patients who are admitted with a dominant clinic of impaired consciousness in the absence of obvious laboratory instrumental changes.