BÁO CÁO CA LÂM SÀNG: XUẤT HUYẾT TIÊU HÓA DO VỠ THỰC QUẢN NGUYÊN PHÁT VÀ ĐIỂM Y VĂN

Abstract

The Boerhaave syndrome is a extremely rare but a life-threatening condition. Diagnosis is difficult by its rarity and the absence of typical symptoms. Case report: We report a case of Boerhaave syndrome resulting from severe vomiting after alcohol consumption, in a critical ill condition. Although the patient was treated following guidelines after diagnosis, “the golden hour” was missed, leading to a poor prognosis. Conclusion: Timely diagnosis and treatment of Boerhaave syndrome are crucial prognostic factors. Chest computed tomography plays a significant role in the diagnosis. The management of the disease requires multidisciplinary coordination and close monitoring, with surgery being the primary treatment modality and ideally performed within 24 hours.