DOI: 10.36347/sjmcr.2022.v10i12.031

Pages: 1263-1265

Boerhaave syndrome is a rare entity, difficult to diagnose, with a potentially fatal outcome if not managed rapidly. We report the case of a female patient diagnosed throughout the triad of Meckler and confirmed with CT Scan using a water-soluble contrast product such as gastrografin showing pneumo-mediastinum with important subcutaneous emphysema. Clinically the patient was stable ruling out surgery but requiring a broad-spectrum intravenous antibiotic therapy with monitoring. The evolution was reassuring after a 15 day follow up. The barogenic nature of the rupture probably explains the wide mediastinal contamination, rapidly responsible for severe respiratory distress, sepsis and shock. A careful history and a detailed imaging examination allow a rapid diagnosis and therefore more caution treating the patient.