Boerhaave's syndrome is due to:
(Spontaneous perforation) (999-Baily & Love 20th) (472-CSDT 12th) (1014-B & L 25th)Spontaneous (Postemetic) perforation (Boerhaave's syndrome)* Spontaneous perforation usually occurs in the absence of prexisting esophageal disease, but 10% of patients have reflux esophagitis, esophageal diverticulum, carcinoma etc.* The rupture usually involves all layers of the esophagus wall and most frequently occurs in the left postreolatral aspect 3-5 cm above the gastroesophageal junctions.* The tear results from excessive intraluminal pressure, usually caused by violent retching and vomiting.MALLORY-WE1SS-SYNDROME - Vigourous vomiting produces a vertical split that is in the gastric mucosa. About 75% of these lesions are confined to the stomach. Majority of patients are alcoholics.* Medical instrumentation is the most common cause of esophageal perforation (diagnostic or therapeutic endoscopy)* The cricopharengeal area is the most common site of injury.* Most common site of perforation at the natural site of narrowing at the level of the left main bronchus and at the diaphragmatic hiatus.
Drug induced esophagus perforation
Corrosive injury
Spontaneous perforation
Gastro-esophageal reflux disease
Oesophagus