{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T18:48:47Z","timestamp":1769539727854,"version":"3.49.0"},"reference-count":5,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Empyema and Boerhaave syndrome are both life\u2010threatening conditions. We present a patient who suffered from Boerhaave syndrome complicated by left empyema, who had sepsis controlled with adequate pleural drainage and timely endoscopic oesophageal repair. A preceding history of vomiting\u00a0with the occurrence of polymicrobial empyema with\n Candida<\/jats:italic>\n involvement should prompt the suspicion of Boerhaave syndrome, despite the absence of classical Mackler's Triad. Early recognition of these interlinked conditions is essential for facilitating prompt management. Intravenous and oral contrast\u2010enhanced computed tomography is crucial in evaluating the thoracic space and identifying an oesophageal leak. Intravenous antibiotics and repair of the oesophageal perforation can help to control sepsis and improve clinical outcome. Endoscopic repair is a viable alternative to surgical repair in select patients and can be considered even in those with a delayed presentation.\n <\/jats:p>","DOI":"10.1002\/rcr2.70432","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T17:41:11Z","timestamp":1767807671000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic Treatment of Boerhaave Syndrome Related Empyema"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7361-9232","authenticated-orcid":false,"given":"Christopher","family":"Chan","sequence":"first","affiliation":[{"name":"Department of Medicine and Therapeutics Prince of Wales Hospital, The Chinese University of Hong Kong Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yueming","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Medicine and Therapeutics Prince of Wales Hospital, The Chinese University of Hong Kong Hong Kong SAR China"},{"name":"1st People's Hospital of Foshan Foshan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tommy Wing Ho","family":"Yip","sequence":"additional","affiliation":[{"name":"Department of Medicine and Therapeutics Prince of Wales Hospital, The Chinese University of Hong Kong Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hon Chi","family":"Yip","sequence":"additional","affiliation":[{"name":"Department of Surgery Prince of Wales Hospital, The Chinese University of Hong Kong Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8163-5846","authenticated-orcid":false,"given":"Ken Ka Pang","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Medicine and Therapeutics Prince of Wales Hospital, The Chinese University of Hong Kong Hong Kong SAR China"},{"name":"Li Ka Shing Institute of Health Sciences The Chinese University of Hong Kong, New Territories Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-117215"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2023.108018"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1250347"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43168-025-00431-0"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000191283"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70432","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcr2.70432","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70432","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T05:43:18Z","timestamp":1769492598000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.70432"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/rcr2.70432"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.70432","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-10-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70432"}}