Annals of Tropical Medicine and Public Health

CASE REPORT
Year
: 2015  |  Volume : 8  |  Issue : 6  |  Page : 300--303

Boerhaave俟Q製 syndrome presented with right-sided hydropneumothorax and hoarseness of voice: A case report


Rupam Kumar Ta, Sourindra Nath Banerjee, Arnab Roy, Anand Kumar Pandey, Kaliprasanna Chatterjee, Pratik Barma 
 Department of Chest Medicine, Burdwan Medical College and Hospital, Burdwan, West Bengal, India

Correspondence Address:
Rupam Kumar Ta
120, Vivekananada Road, Chotonilpur, P.O. Sripally, District Burdwan - 713 103, West Bengal
India

Boerhaave俟Q製 syndrome is a rare and sometimes life-threatening condition characterized by lower esophageal tear due to a sudden rise of intraluminal pressure, and it is usually presented with a history of forceful vomiting, abdominal or chest pain, and sometimes subcutaneous emphysema. Atypical and delayed presentation is also not uncommon. A high index of suspicion is needed for diagnosis. The diagnosis is confirmed by contrast esophagogram or contrast computed tomography (CT) of the chest. Mortality rates could be as high as nearly 20-40% even in the treated cases. In this article, we report a case of a 57-year-old male, who is a smoker as well as an alcoholic, with right-sided hydropneumothorax presenting with dyspnea, epigastric pain, hoarseness of voice, and features of shock. Boerhaave俟Q製 syndrome was suspected on finding food particles in pleural fluid that contained very high salivary amylase level. The diagnosis was confirmed with a sterile methylene blue contrast study.


How to cite this article:
Ta RK, Banerjee SN, Roy A, Pandey AK, Chatterjee K, Barma P. Boerhaave's syndrome presented with right-sided hydropneumothorax and hoarseness of voice: A case report.Ann Trop Med Public Health 2015;8:300-303


How to cite this URL:
Ta RK, Banerjee SN, Roy A, Pandey AK, Chatterjee K, Barma P. Boerhaave's syndrome presented with right-sided hydropneumothorax and hoarseness of voice: A case report. Ann Trop Med Public Health [serial online] 2015 [cited 2019 Dec 5 ];8:300-303
Available from: http://www.atmph.org/article.asp?issn=1755-6783;year=2015;volume=8;issue=6;spage=300;epage=303;aulast=Ta;type=0