Boerhaave's syndrome with rupture of the right wall of the esophagus after oral administration of sulfate solution.

Abstract

A 63-year-old male took magnesium sulfate for bowel cleansing and subsequently developed severe nausea and vomiting. He then suffered from acute epigastric pain and compression pain in the right chest, with dyspnea, chest tightness and palpitation. Physical examination revealed subcutaneous emphysema in the neck, with crepitus and diminished breathing sounds on the right side of the chest. A thoracic computed tomography (CT) scan showed mediastinal emphysema, right-sided pleural effusion and pneumothorax.

• Authors: Hao Xu, Dongping Huang, Chiyi He
• Journal: Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva (Rev Esp Enferm Dig) Vol. 113 Issue 9 Pg. 677 (Sep 2021) ISSN: 1130-0108 [Print] Spain
• PMID: 33393326 (Publication Type: Case Reports, Journal Article)

Chemical References

• Sulfates

Topics

• Administration, Oral
• Esophageal Perforation (chemically induced, diagnostic imaging)
• Humans
• Male
• Mediastinal Diseases
• Middle Aged
• Rupture, Spontaneous
• Sulfates