{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:13:26Z","timestamp":1789154006164,"version":"build-2803163510"},"reference-count":6,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,10,27]],"date-time":"2024-10-27T00:00:00Z","timestamp":1729987200000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We present an uncommon pathology of Boerhaave's syndrome and its fatal outcome in a 77\u2010year\u2010old man who presented to the emergency room with loss of consciousness and a history of chronic cough that had increased in intensity over the past week. Radiological investigations revealed bilateral pleural effusion, initially pointing to a transudative aetiology. Diagnostic pleural aspiration showed an exudative effusion with high amylase, and an intercostal drainage tube was inserted for the left massive effusion. Contrary to the initial provisional diagnosis, the discovery of ingested milk in the intercostal drainage tube raised suspicion of Boerhaave's syndrome. Around 90% of perforations occur on the left side of the distal oesophagus, presenting as a pleural effusion on the left side. Less than 10% of patients experience bilateral pleural effusions. This patient's clinical presentation, which led to the diagnosis, is of interest. Unfortunately, he eventually lapsed into sepsis and succumbed.<\/jats:p>","DOI":"10.1002\/rcr2.70056","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T03:40:45Z","timestamp":1730086845000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Milk in the intercostal tube: Revealing Boerhaave syndrome"],"prefix":"10.1002","volume":"12","author":[{"given":"Manasa","family":"Kuthadi","sequence":"first","affiliation":[{"name":"Department of Pulmonology ESIC Medical College and Hospital  Hyderabad Telangana India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surendar Reddy","family":"K","sequence":"additional","affiliation":[{"name":"Department of Pulmonology ESIC Medical College and Hospital  Hyderabad Telangana India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narayana","family":"Mood","sequence":"additional","affiliation":[{"name":"Department of Pulmonology ESIC Medical College and Hospital  Hyderabad Telangana India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alekya","family":"Papayagari","sequence":"additional","affiliation":[{"name":"Department of Pulmonology ESIC Medical College and Hospital  Hyderabad Telangana India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Gattu","sequence":"additional","affiliation":[{"name":"Department of Pulmonology ESIC Medical College and Hospital  Hyderabad Telangana India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2019-230343"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2072-1439.2014.12.04"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.14309\/crj.0000000000000203"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2015.11929269"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.46212"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2023.108018"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70056","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T04:39:51Z","timestamp":1730090391000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.70056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":6,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1002\/rcr2.70056"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.70056","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"2024-07-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70056"}}