Boerhaave's Syndrome

Abstract
• Boerhaave's syndrome, or spontaneous rupture of the esophagus, may present with atypical chest pain mimicking an acute thoracic aortic dissection. We describe such a case and discuss the utility of a thoracic computed tomographic scan in arriving at a prompt diagnosis. The importance of early diagnosis is reviewed with particular attention to these roentgenographic findings. (Arch Intern Med 1988;148:223-224)

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