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Boerhaave's syndrome


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Spontaneous rupture (see perforation) of the gullet (oesophagus), especially following forceful retching and vomiting. Usual symptoms are chest pain, fever, and shortness of breath. Surgical emphysema is often present on the front of the chest and base of the neck. Diagnosis is usually made with CT scanning. Surgery is required in most of the cases, along with broad-spectrum antibiotics and parenteral nutrition. H. Boerhaave (1668–1738), Dutch physician

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