An Unusual Case of Chest Pain

  • P Baburaj, MD Jubilee Mission Medical College & Research Institute, East Fort, Thrissur, Kerala, Pin code – 680005.
  • Shyam Shankar Varma Jubilee Mission Medical College & Research Institute, East Fort, Thrissur, Kerala, Pin code – 680005
  • B L Harikrishnan Jubilee Mission Medical College & Research Institute, East Fort, Thrissur, Kerala, Pin code – 680005
Keywords: Chest pain, Barium Swallow Transmural Perforation

Abstract

A 25 year old female from Palakkad was referred to our hospital with a/c onset of difficulty in swallowing and diffuse chest pain of one day duration. There was radiation of pain to right side of neck and right arm. Prior to this she had fever and cough with persistent vomiting for 3 days. Chest X ray showed subcutaneous emphysema on the right side with evidence of pneumomediastinum. Barium swallow done once the patient became symptomatically better, showed evidence of contrast leak.
Boerhaave’s syndrome is a transmural perforation of the oesophagus following a forceful emesis. The Meckler’s triad defines the classic presentation of Boerhaave syndrome. It is the triad of vomiting, lower thoracic chest pain and subcutaneous emphysema.

Author Biographies

P Baburaj, MD, Jubilee Mission Medical College & Research Institute, East Fort, Thrissur, Kerala, Pin code – 680005.

Professor of Medicine & Unit Head

Shyam Shankar Varma, Jubilee Mission Medical College & Research Institute, East Fort, Thrissur, Kerala, Pin code – 680005

Assistant Professor, Department of Medicine

B L Harikrishnan, Jubilee Mission Medical College & Research Institute, East Fort, Thrissur, Kerala, Pin code – 680005

Assistant Professor, Department of Medicine

Published
2011-09-27
How to Cite
Baburaj, P., Varma, S., & Harikrishnan, B. (2011). An Unusual Case of Chest Pain. Kerala Medical Journal, 4(3), 93-94. https://doi.org/10.52314/kmj.2011.v4i3.227
Section
Case Series / Case Report