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Correspondence
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Volume 344:138-139 January 11, 2001 Number 2
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Boerhaave's Syndrome

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To the Editor: Gopalan and Cooke (July 20 issue)1 describe a case of Boerhaave's syndrome that raises several questions. Usually, Boerhaave's syndrome presents as spontaneous esophageal rupture with perforation into the left side of the thorax, nearly always after severe vomiting. The patients typically are in acute distress and have a left-sided pleural effusion. Treatment usually consists of left-sided thoracotomy, with closure of the tear and flap coverage.2 Other therapeutic options include repair through an abdominal approach with chest-tube drainage or stenting of the esophagus. In the case described by Gopalan and Cooke, the patient was treated with bilateral thoracotomy . . . [Full Text of this Article]

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