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Case Report
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| Medical school finals, nerves and vomiting: Medical student survives Boerhaave’s syndrome with recurrence one week after initial presentation | ||||||
| Eshan Oderuth1, Kevin Ilo2, Munir Somji3, Thomas Holme4 | ||||||
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1Foundation Year 2, General Surgery, Queen Elizabeth Hospital, London, England.
2Foundation Year 2, Trauma and Orthopaedics, Queen Elizabeth Hospital, London, England. 3Foundation Year 2, General Surgery, St Thomas’s Hospital, London, England. 4Foundation Year 2, Accident and Emergency, St Thomas’ Hospital, London, England. | ||||||
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| How to cite this article |
| Oderuth E, Ilo K, Somji M, Holme T. Medical school finals, nerves and vomiting: Medical student survives Boerhaave’s syndrome with recurrence one week after initial presentation. International Journal of Case Reports and Images 2014;5(3):202–206. |
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Abstract
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Introduction:
Boerhaave’s syndrome is a serious condition that can be fatal due to commonly nonspecific symptoms and delayed treatment. This rare syndrome is a result of a spontaneous esophageal rupture.
Case Report: We describe a case of a medical student who developed Boerhaave’s syndrome on the day of his finals. Initially, the medical student’s symptoms were misdiagnosed when they sought medical attention. Despite the medical student being clinically well, their medical knowledge prompted a surgical opinion and Boerhaave’s syndrome was confirmed. Treatment was conservative, however, its recovery was complicated with a recurrence of symptoms shortly after the initial episode. Conclusion: This case highlights and discusses the importance of esophageal rupture to be considered as a cause of chest pain. Prompt diagnosis is of utmost importance. If conservative treatment is commenced, adequate time for healing should be permitted. | |
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Keywords:
Boerhaave’s Syndrome, Esophageal rupture, Esophageal perforation, Upper third esophageal rupture
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Author Contributions
Eshan Oderuth – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Kevin Ilo – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Munir Somji – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Thomas Holme – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Eshan Oderuth et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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About The Authors
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