1. Boerhaave’s syndrome in an ultra-distance runner
- Author
-
JoAnn Ellero, Andrew Pasternak, Stephen Maxwell, and Victoria Cheung
- Subjects
Adult ,Male ,medicine.medical_specialty ,Chest Pain ,Vital signs ,Lower chest ,Chest pain ,Non steroidal ,Running ,Diagnosis, Differential ,03 medical and health sciences ,0302 clinical medicine ,Oesophageal rupture ,Bronchoscopy ,medicine ,Mediastinal Diseases ,gastrointestinal surgery ,Humans ,Mediastinal Emphysema ,S syndrome ,Unusual Presentation of More Common Disease/Injury ,Esophageal Perforation ,oesophagus ,business.industry ,General surgery ,030229 sport sciences ,General Medicine ,Athletes ,Pill ,Upper abdominal pain ,030211 gastroenterology & hepatology ,medicine.symptom ,business ,human activities ,sports and exercise medicine - Abstract
A runner competing in a 100 mile trail race presented with severe lower chest pain and right upper abdominal pain. His pain started immediately after he took an over the counter non steroidal anti-inflammatory pill a few hundred metres after leaving the aid station. When he took the pill, he immediately had to vomit and spit out the pill. On arriving back at the aid station, he was noted to have severe left-sided chest pain that worsened with reclining. He also had profound dyspnoea. Initial vital signs were unremarkable. The runner was immediately transported to an emergency room and eventually found to have an oesophageal rupture. After surgical intervention and a lengthy recovery, the runner is back to participating in sport.
- Published
- 2019