Boerhove's syndrome, true about
Occurs classically when a person vomits against a closed glottis. The pressure in the oesophagus increases rapidly, and the oesophagus usually bursts in the lower third, sending a stream of material into the mediastinum and often the pleural cavity as well.
Presents with acute chest pain
Operative repair is the mainstay in large perforations,
Non-operative repair can be used in small perforations, with minimal septic load esp in case of perforations during flexible endoscopy.
Iatrogenic
Silent manifestation
Presented with acute chest pain
Treatment is conservative