Torn esophagus (Boerhaave syndrome)

Overview

Air and stomach contents leak into the chest, causing infection.

Fast surgery is needed.

Symptoms

Common signs:

• Severe chest pain after vomiting
• Trouble breathing

Less common

• Fever

Look up a symptom: Getting winded easily with activity or stairs · Stomach pain · Vomiting

When to get medical care

Causes

Vomiting.

Diagnosis

This is diagnosed in the emergency room or hospital.

The exam

A physical exam.

Tests

Tests, if needed:

• CT:

Treatment

Emergency care is needed. While waiting for help:

Self-care

• Call 911
• Don't eat or drink after the injury
• Don't eat or drink until checked

Prevention

To lower your risk or prevent problems:

• Treat severe vomiting early

Which doctor treats this

• Emergency doctors treat it first, in the ER.
• They may send you to a gastroenterologist (stomach and gut doctor).

Living with it

Support groups and helplines

• Genetic and Rare Diseases Information Center (GARD): Free NIH information on rare diseases, including where to find experts and patient groups.
• National Organization for Rare Disorders (NORD): Patient groups, help finding care, and aid programs for rare diseases.

Back to school, work, or sports

• School or desk work is often OK within days. Jobs with lifting may need light duty for a while.
• Go back to sports only when your doctor says it's OK and you have full motion and strength without pain.

Children, pregnancy, and older adults

• Heavy drinkers: Higher risk after vomiting.
• Men 40 to 60: Most common.

For caregivers

• Go to visits when you can and take notes.
• Keep a list of medicines, allergies, and doctors in one place.
• Learn the warning signs that need fast care.
• Take breaks and ask for help. Caregivers need care too.

Outlook

Fast treatment improves survival.

Fast surgery saves lives.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

• A list of your medicines and supplements
• Notes on when symptoms started and what makes them better or worse

Questions to ask

• What follow-up care do I need?
• How can I prevent this from happening again?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Torn esophagus (Boerhaave syndrome)