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Case Studies | Otorhinolaryngology | Bahrain | Volume 12 Issue 8, August 2023

Unusual Manifestation of Spontaneous Esophageal Rupture: A Case Study

Dr. Rashed Aldoseri | Dr. Mohammed Alshehabi | Dr. Mai Nasser

Abstract: Spontaneous esophageal rupture is a rare medical occurrence characterized by a sudden increase in intraesophageal pressure combined with negative intrathoracic pressure. This case study presents the admission of a 21 - year - old female to our accident and emergency department, who had no previous medical issues. She complained of acute retrosternal chest pain along with other symptoms. Notably, the patient had not ingested any foreign bodies, experienced vomiting, fever, cough, trauma, or undergone recent procedures. Upon physical examination, the patient exhibited a soft abdomen with epigastric tenderness, and both respiratory and cardiovascular examinations were normal. Diagnostic imaging, including a chest X - ray and a computed tomography scan of the neck and chest, revealed retropharyngeal air extending to the mediastinum with anterior chest surgical emphysema. Oesophago - gastro - duodenoscopy indicated mild gastritis, with no evidence of foreign body ingestion or esophageal injury. The treatment plan involved prescribing Paracetamol, Pantoprazole, and Clindamycin. With conservative management, the patient showed significant improvement during follow - up, with no active complaints. Importantly, this case demonstrates that conservative management can lead to favorable clinical outcomes without the need for additional interventions in cases of spontaneous esophageal rupture.

Keywords: Spontaneous esophageal rupture, Boerhaave syndrome, Case report

Edition: Volume 12 Issue 8, August 2023,

Pages: 1286 - 1290