Boerhaave Syndrome Mimicking Acute Coronary Syndrome

Authors

Reid Schalet, Department of Medicine, George Washington University, Washington, DC.
Francis Carro Cruz, Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Ivan Berezowski, Department of Medicine, George Washington University, Washington, DC.
Cyrus Adams-Mardi, Department of Medicine, George Washington University, Washington, DC.
Hanna Haile, Department of Medicine, George Washington University, Washington, DC.
Samuel A. Schueler, Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Marie L. Borum, Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.

Document Type

Journal Article

Publication Date

8-1-2024

Journal

ACG case reports journal

Volume

11

Issue

8

DOI

10.14309/crj.0000000000001453

Keywords

Boerhaave syndrome; endoscopy; esophageal perforation; myocardial infarction

Abstract

Boerhaave syndrome, an esophageal perforation due to increased intraesophageal pressure, may mimic other cardiovascular conditions including acute coronary syndrome. In this report, we present a case of a 63-year-old man who presented with chest pain and ischemic electrocardiogram abnormalities, prompting an initial diagnosis of ST elevation myocardial infarction. After coronary stenting, the patient continued to have chest pain, ST segment elevations, and newly elevated cardiac enzymes. A computed tomography scan showed esophageal perforation, requiring endoscopic stenting. This case underscores the diagnostic and therapeutic challenges of Boerhaave syndrome and the importance of considering this condition in adults with chest pain and ischemic electrocardiogram changes.

APA Citation

Schalet, Reid; Carro Cruz, Francis; Berezowski, Ivan; Adams-Mardi, Cyrus; Haile, Hanna; Schueler, Samuel A.; and Borum, Marie L., "Boerhaave Syndrome Mimicking Acute Coronary Syndrome" (2024). GW Authored Works. Paper 5446.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/5446

Department

Medicine