Boerhaave Syndrome Causing Bilateral Empyemas

ACG Case Rep J. 2019 Sep 2;6(9):e00203. doi: 10.14309/crj.0000000000000203. eCollection 2019 Sep.


Boerhaave syndrome is a perforation of the esophagus caused by a sudden increase in intraluminal pressure. It is known to be associated with left-sided pleural effusion and mediastinitis, but rarely presents with bilateral effusion. Its association with the presence of a hiatal hernia is unclear. We present a patient with a hiatal hernia who developed bilateral empyemas because of Boerhaave syndrome and was treated with an endoscopically placed esophageal stent.

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  • Case Reports