{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:08:18Z","timestamp":1789153698254,"version":"build-2803163510"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"809","license":[{"start":{"date-parts":[[1993,3,1]],"date-time":"1993-03-01T00:00:00Z","timestamp":730944000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1993,3,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Five cases of spontaneous rupture of the oesophagus are reported. All cases had surgery within 12 hours, and all survived, illustrating the value of early diagnosis in this rare condition. None had their diagnosis made before admission to the hospital. Myocardial infarction is the commonest misdiagnosis and frequently results in delayed treatment. We believe that a simple direct question to enquire of the patient whether or not vomiting preceded the onset of the severe pain would significantly reduce the rate of misdiagnosis.<\/jats:p>","DOI":"10.1136\/pgmj.69.809.214","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:25:21Z","timestamp":1230585921000},"page":"214-216","source":"Crossref","is-referenced-by-count":20,"title":["Spontaneous rupture of the oesophagus (Boerhaave's syndrome)"],"prefix":"10.1093","volume":"69","author":[{"given":"D","family":"Nehra","sequence":"first","affiliation":[{"name":"Department of Surgery, Maelor General Hospital , Wrexham, Clwyd LL13 7TD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Beynon","sequence":"additional","affiliation":[{"name":"Department of Surgery, Maelor General Hospital , Wrexham, Clwyd LL13 7TD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J K","family":"Pye","sequence":"additional","affiliation":[{"name":"Department of Surgery, Maelor General Hospital , Wrexham, Clwyd LL13 7TD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1993,3,1]]},"reference":[{"key":"ref_1","first-page":"43","article-title":"Atrocis, nec descripti prius, morbi historia. Secundum medicae artis leges conscripta. Lugduni Batavorum Boutesteniana, 1724","volume":"1955","author":"Boerhaave, H.","unstructured":"Boerhaave, H. Atrocis, nec descripti prius, morbi historia. Secundum medicae artis leges conscripta. Lugduni Batavorum Boutesteniana, 1724. (English translation: Derbes, V.J. & Mitchell, R.E. Bull Med Libr Ass 1955, 43: 217-240).","journal-title":"Bull Med Libr Ass"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1002\/bjs.18003513821","article-title":"Report of a case of spontaneous perforation of the oesophagus successfully treated by operation","volume":"35","author":"Barrett, N.R.","year":"1947","unstructured":"Barrett, N.R. Report of a case of spontaneous perforation of the oesophagus successfully treated by operation. Br J Surg 1947, 35: 216-218.","journal-title":"Br J Surg"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/0003-4975(89)90119-7","article-title":"Spontaneous rupture of the oesophagus: A 30 year experience","volume":"47","author":"Pate, J.W.; Walker, W.A.; Cole, F.H.","year":"1989","unstructured":"Pate, J.W., Walker, W.A. & Cole, F.H. Spontaneous rupture of the oesophagus: A 30 year experience. Ann Thorac Surg 1989, 47: 689-692.","journal-title":"Ann Thorac Surg"},{"key":"ref_4","first-page":"67","article-title":"Atraumatic so-called 'spontaneous' rupture of the oesophagus: A review of 47 personal cases with comments on a new method of surgical therapy","volume":"59","author":"Abbot, O.A.; Mansour, K.A.; Logan, Jr, W.D.","year":"1970","unstructured":"Abbot, O.A., Mansour, K.A. & Logan, W.D. Jr. Atraumatic so-called 'spontaneous' rupture of the oesophagus: A review of 47 personal cases with comments on a new method of surgical therapy. 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Mod Treat","volume":"7","author":"Foster, J.H.","year":"1970","unstructured":"Foster, J.H. Eosphageal perforation. Mod Treat 1970, 7: 1284-1300."}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/69\/809\/214\/50072821\/postgradmedj-69-214.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/69\/809\/214\/50072821\/postgradmedj-69-214.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T07:02:28Z","timestamp":1684825348000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/69\/809\/214\/7062785"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,3,1]]},"references-count":15,"journal-issue":{"issue":"809","published-online":{"date-parts":[[1993,3,1]]},"published-print":{"date-parts":[[1993,3,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.69.809.214","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1993,3]]},"published":{"date-parts":[[1993,3,1]]}}}