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Vomiting in pregnancy resulting in oesophageal perforation in a 15-year-old

Published online by Cambridge University Press:  29 June 2007

T. J. Woolford*
Affiliation:
University Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester
A. R. Birzgalis
Affiliation:
University Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester
C. Lundell
Affiliation:
University Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester
W. T. Farrington
Affiliation:
University Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester
*
T. J. Woolford, University Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester
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Abstract

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Spontaneous perforation of the oesophagus is extremely rare in children, as is perforation due to vomiting in pregnancy. We report the case of a 15-year-old in whom vomiting inearly pregnancy resulted in oesophageal perforation with subcutaneous emphysema causing marked facial swelling in the absence of other signs. The more common clinical presentation of spontaneous oesophageal rupture (Boerhaave's syndrome) is discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1993

References

Drakeley, M. J. (1987) The oesophagus in otolaryngology. In Scott-Brown's Otolaryngology. 5th Edition, vol. 5. (Kerr, A. G., Stell, P. M., eds.), Butterworth & Co. Ltd, London, pp 392414.Google Scholar
Drury, M., Anderson, W., Heffner, J. E., (1992) Diagnostic value of plural fluid cytology in occult Boerhaave's syndrome. Chest 102: 976978.CrossRefGoogle Scholar
Han, S.Y., McElvein, R. B., Aidrete, J. S., Tishler, J. M. (1985) Perforation of the oesophagus: correlation of site and cause with plain film abnormality. American Journal of Roentgenology 145: 537540.CrossRefGoogle Scholar
Jaworski, A., Fischer, R., Lippman, M. (1988) Boerhaave's syndrome. Computed tomographic findings and diagnostic considerations. Archives of Internal Medicine 148: 223224.CrossRefGoogle ScholarPubMed
Konagaya, M., Kikuchi, K., Takayasu, H., Shiina, Y., Hamamuki, S., Harasawa, S., Miwa, T. (1988) A case of spontaneous oesophageal rupture treated with conservative therapy. Tokai Journal of Experimental Clinical Medicine 13: 151157.Google Scholar
Nesbitt, J. C., Sawyers, J. L. (1987) The surgical management of oesophageal perforation. American Journal of Surgery 53: 183191.Google Scholar
Pate, J. W., Walker, W. A., Cole, F. H. Jr, Owen, E. W., Johnson, W. H. (1989) Spontaneous rupture of the oesophagus: a 30-year experience. Annals of Thoracic Surgery 47: 689692.CrossRefGoogle Scholar
Richardson, J. D., Martin, L. E., Borzotta, A. P., Polk, H. C. Jr (1985) Unifying concepts in the treatment of oesophageal leaks. American Journal of Surgery 149: 157162.Google Scholar
Rosati, R., Amadi, E. C., Elli, M., Paliaga, A., Casciani, C. U. (1985) Boerhaave syndrdome: report of two cases. Italian Journal of Surgical Science 15: 249253.Google ScholarPubMed
Singh, G. S., Slovis, C. M. (1988) ‘Occult’ Boerhaave's syndrome. Journal of Emergency Medicine 6: 1316.Google Scholar
Wake, M., Stansbie, M., Thompson, H. (1991) Spontaneous perforation of the pharynx/oesophagus. Ear, Nose and Throat Journal 70: 318320.Google Scholar
Ward, W. G. (1986) Cold water polydipsia: unheralded marker of spontaneous oesophageal rupture. Southern Medical Journal 79: 11611162.Google Scholar