Barogenic Rupture of the Esophagus (Boerhaave’s Syndrome)

  • V. I. Sreenivas


Barogenic rupture of the esophagus, first described in 1724 by Boerhaave (1), a Dutch physician, is the most lethal of all gastrointestinal perforations. Untreated, 25% of patients are dead within twelve hours; the remainder die in less than a week (2). The present-day mortality rate for the condition is approximately 35% (3); delay in treatment, essentially due to delay in diagnosis, is responsible for this disturbingly high mortality. The relative rarity of this condition, misinterpretation of its presenting features, and failure to recognize the early X-ray manifestations contribute to delayed diagnosis.


Esophageal Perforation Tension Pneumothorax Mediastinal Pleura Esophageal Rupture Esophageal Defect 
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  1. 1.
    Boerhaave H (1924) Atrocis nec descripti prius morph historia, secundum mediciae artis leges conseripta. Lugd Bal-Boukestaniana deyeden. English translation (1955) Bull Med Libr Assoc 43: 217Google Scholar
  2. 2.
    Derbes VJ, Mitchell RE (1956) Rupture of the esophagus. Surgery 39: 865PubMedGoogle Scholar
  3. 3.
    Sawyers JL, Lane CE, Foster JH, Daniel RA (1975) Esophageal perforation: an increasing challenge. Ann Thorac Surg 19: 233PubMedCrossRefGoogle Scholar
  4. 4.
    Payne WS, Brown PW, Fontana RS (1974) The esophagus. Lea and Febiger, PhiladelphiaGoogle Scholar
  5. 5.
    Madder SA (1952) Spontaneous rupture of the esophagus. An experimental and clinical study. Surg Gynecol Obstet 95: 345Google Scholar
  6. 6.
    Campbell D, Cox WA (1969) Spontaneous rupture of the esophagus presenting as an acute abdominal catastrophy. Surgery 66: 304PubMedGoogle Scholar
  7. 7.
    Naclerio EA (1957) The “V Sign” in the diagnosis of spontaneous rupture of the esophagus (an early roentgen clue). Am J Surg 93: 291PubMedCrossRefGoogle Scholar
  8. 8.
    Abbott OA, Mansour KA, Logan WD, Hatcher CR, Symbas PN (1970) A traumatic so-called “spontaneous” rupture of the esophagus. A review of 47 personal cases with comments on a new method of surgical therapy. J Thorac Cardiovasc Surg 59: 67PubMedGoogle Scholar
  9. 9.
    Thal AP, Hatafuku T (1964) Improved operation for esophageal rupture. JAMA 188: 826PubMedCrossRefGoogle Scholar
  10. 10.
    Grillo HC, Wilkins EW (1975) Esophageal repair following late diagnosis of intrathoracic perforation. Ann Thorac Surg 20: 387PubMedCrossRefGoogle Scholar
  11. 11.
    Rao KVS, Mir M, Cogbill CL (1974) Management of perforation of the thoracic esophagus. A new technique utilizing a pedicle flap of the diaphragm. Am J Surg 127: 609Google Scholar
  12. 12.
    Urschel HC, Razzuk MA, Wood RE, Galbraith N, Pockey M, Paulson DL (1974) Improved management of esophageal perforation. Exclusion and diversion in continuity. Ann Surg 179: 587Google Scholar

Copyright information

© Springer Science+Business Media New York 1980

Authors and Affiliations

  • V. I. Sreenivas
    • 1
    • 2
    • 3
  1. 1.The Hospital of Saint RaphaelNew HavenUSA
  2. 2.Department of SurgeryYale University School of MedicineNew HavenUSA
  3. 3.Yale New Haven HospitalNew HavenUSA

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