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Korean J Gastrointest Endosc. 2008 Dec;37(6):409-412. Korean. Case Report.
Kim YK , Paik CN , Chang UI , Jung SH , Lee JR , Chung WC , Lee KM , Yang JM .
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Boerhaave's syndrome is difficult to diagnosis because of the esophageal rupture, which is caused by nausea and vomiting, and Boerhaave's syndrome is known to have a high mortality rate. The mortality increases with a delayed diagnosis; therefore, an early diagnosis and surgical treatment are critical for a good prognosis. Yet some recent cases have shown that non-surgical treatments are successful in some classified patient groups. These groups should be considered according to their symptoms and their laboratory and radiological findings. Sepsis and multi-organ failure should be continuously checked for to see if they occurred and/or progressed. We report here on a 51 year old woman who had Boerhaave's syndrome, and this was caused by heavy drinking, nausea and vomiting, and she improved with just non-surgical treatment such as fasting, antibiotics and endoscopic clipping.

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