{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:08:05Z","timestamp":1789153685105,"version":"build-2803163510"},"reference-count":4,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emerg Med J"],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:p>Boerhaave\u2019s syndrome is a transmural rupture of the oesopahgus. It is a rarer, and less well described complication of forceful emesis. The more common complication being a non-transmural Mallory-Weiss tear. Boerhaave\u2019s is the most lethal perforation of the GI tract and has a mortality rate between 10 and 50%.<\/jats:p>\n               <jats:p>It most commonly occurs after indulgence in food or alcohol, particularly in males aged 50\u201370 years. The well described presentation is of a middle aged man with a sudden onset of severe chest pain in the lower thorax\/upper abdomen following repeated retching or vomiting induced by excessive dietary and alcohol intake. However, atypical presentations are common. Presented here is the case of a 26-year-old man who attended accident and emergency department complaining of chest pain. Initial examination was normal. He was subsequently diagnosed with Boerhaave\u2019s syndrome. This case highlights the varied presentation of this potentially fatal condition.<\/jats:p>","DOI":"10.1136\/emj.2006.043471","type":"journal-article","created":{"date-parts":[[2007,3,23]],"date-time":"2007-03-23T18:37:06Z","timestamp":1174675026000},"page":"e24-e24","source":"Crossref","is-referenced-by-count":9,"title":["Walked in with Boerhaave\u2019s\u2026: \n            Figure 1"],"prefix":"10.1136","volume":"24","author":[{"given":"Anna M","family":"Lewis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahulan","family":"Dharmarajah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2007,3,23]]},"reference":[{"key":"2025090501562168000_24.4.e24.1","unstructured":"Murphy M, Kalapatau V. Boerhaave syndrome, http:\/\/www.emedicine.com\/med\/topic233.htm (accessed 2 Feb 2007)."},{"key":"2025090501562168000_24.4.e24.2","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1093\/dote\/10.1.64","volume":"10","year":"1997","journal-title":"Dis Esophagus"},{"key":"2025090501562168000_24.4.e24.3","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.73.859.265"},{"key":"2025090501562168000_24.4.e24.4","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(89)90119-7"}],"container-title":["Emergency Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/emj.2006.043471","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T09:00:50Z","timestamp":1757062850000},"score":1,"resource":{"primary":{"URL":"https:\/\/emj.bmj.com\/lookup\/doi\/10.1136\/emj.2006.043471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,3,23]]},"references-count":4,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2007,3,23]]},"published-print":{"date-parts":[[2007,4]]}},"alternative-id":["10.1136\/emj.2006.043471"],"URL":"https:\/\/doi.org\/10.1136\/emj.2006.043471","relation":{},"ISSN":["1472-0205","1472-0213"],"issn-type":[{"value":"1472-0205","type":"print"},{"value":"1472-0213","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,3,23]]}}}