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Two of our own patients with Boerhave's syndrome are reported. A disturbance of the vomiting process with abrupt increase of pressure in the esophageal lumen combined with a circumscribed constitutional weakness of the esophageal wall appears to be the decisive factor in the etiology of atraumatic complete esophageal rupture. The clinical picture is characterized by vomiting and painful sensations in the abdomen and thorax in addition to subsequent acute epigastric symptomatology. A water-soluble contrast medium is very useful in the radiological diagnosis. Thoracotomy with suture and drainage is recommended as the treatment of choice. Operative treatment treatment has a mortality of 38% compared with more than 60% with drainage alone.
F Zimmermann, and
H Gehl, and
K G Buch
January 1988,
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete,
F Zimmermann, and
H Gehl, and
K G Buch
January 1988,
Zeitschrift fur arztliche Fortbildung,
F Zimmermann, and
H Gehl, and
K G Buch
April 1978,
Lijecnicki vjesnik,
F Zimmermann, and
H Gehl, and
K G Buch
October 1973,
Munchener medizinische Wochenschrift (1950),
F Zimmermann, and
H Gehl, and
K G Buch
January 1971,
Zeitschrift fur Gastroenterologie,
F Zimmermann, and
H Gehl, and
K G Buch
January 1981,
Zentralblatt fur Gynakologie,
F Zimmermann, and
H Gehl, and
K G Buch
January 1974,
Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin,
F Zimmermann, and
H Gehl, and
K G Buch
February 1981,
Chirurgie; memoires de l'Academie de chirurgie,
F Zimmermann, and
H Gehl, and
K G Buch
January 1982,
Journal d'urologie,
F Zimmermann, and
H Gehl, and
K G Buch
January 1990,
Zentralblatt fur Chirurgie,
