Spontaneous esophageal rupture due to an abrupt rise in intraluminal pressure combined with negative intrathoracic pressure (e.g., vomiting) is also known as Boerhaave's syndrome. This case study presents an overview of the syndrome, including morbidity, mortality, and treatment. A 45-year-old patient reported to the emergency department with retrosternal pain after forceful vomiting, which occurred 2 days earlier. Computed tomography (CT) showed a left-sided esophageal rupture along with pneumomediastinum and subcutaneous emphysema. Emergency thoracolaparotomy has been done, and esophageal perforation has been sealed. However, the patient's clinical condition deteriorated on the 5th postoperative day and he finally succumbed to sepsis and multiorgan failure.
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