Boerhaave's syndrome

Here is a case report and concise review.

From the paper:

Boerhaave's syndrome is readily suspected in a patient with a history of overindulgence in food or drinks who, after severe or repeated vomiting, experiences excruciating chest pain and develops subcutaneous emphysema [3]. However, up to one-third of patients have atypical symptoms or are admitted with severe respiratory distress and/or shock. The differential diagnosis of Boerhaave's syndrome includes a variety of acute thoracic and abdominal conditions including myocardial infarction, pulmonary embolus, dissecting aorta, ruptured aortic aneurysm, perforated peptic ulcer, Mallory-Weiss syndrome, pancreatitis, pneumonia, and spontaneous pneumothorax [4].