{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:10:40Z","timestamp":1789153840514,"version":"build-2803163510"},"reference-count":10,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Princ Pract"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p>&lt;i&gt;Objective:&lt;\/i&gt; To highlight the case of a patient with acute respiratory failure, whose diagnosis of Boerhaave\u2019s syndrome only became apparent after a trial of non-invasive ventilation. &lt;i&gt;Clinical Presentation and Intervention:&lt;\/i&gt; A 68-year-old female presented with a clinical picture of community-acquired pneumonia and exacerbation of asthma that was supported by radiological evidence of a large left-sided pleural effusion. Within 20 h, she deteriorated and progressed to severe type 2 respiratory failure. After initiation of first non-invasive and then invasive ventilation, a tension pneumothorax developed. An emergency decompression of the chest revealed gastric contents in the left hemithorax. A diagnosis of Boerhaave\u2019s syndrome was made. Subsequent management included a thoracotomy, defunctioning oesophagectomy, and gastrostomy with ventilatory and inotropic support. However, despite best efforts, the severe systemic inflammatory response resulted in death 3 weeks after initial presentation. &lt;i&gt;Conclusion:&lt;\/i&gt; It is important to have an open diagnostic mind with a thorough review of investigations and therapy as a patient deteriorates. This case illustrates the importance of considering the remote possibility of oesophageal rupture prior to commencing non-invasive ventilation, especially with regard to chest radiograph features.<\/jats:p>","DOI":"10.1159\/000189816","type":"journal-article","created":{"date-parts":[[2009,2,12]],"date-time":"2009-02-12T13:45:00Z","timestamp":1234446300000},"page":"155-158","source":"Crossref","is-referenced-by-count":5,"title":["A Case of Boerhaave\u2019s Syndrome Presenting after a Trial of Non-Invasive Ventilation"],"prefix":"10.1159","volume":"18","author":[{"given":"M.S.","family":"Patel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.U.","family":"Chakraborty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2009,2,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097%2F00000658-197108000-00020"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097%2F00000658-197604000-00013"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097%2F00000658-197012000-00017"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.1800720320"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007%2FBF03017331"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1034%2Fj.1399-3003.2000.16b27.x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1186%2Fcc2933"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1136%2Fthorax.57.3.192"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1183%2F09031936.03.00050403"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1378%2Fchest.122.5.1857"}],"container-title":["Medical Principles and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/189816","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/189816","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T23:03:39Z","timestamp":1745449419000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000189816"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009]]},"references-count":10,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2009,2,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000189816","archive":["Portico"],"relation":{},"ISSN":["1011-7571","1423-0151"],"issn-type":[{"value":"1011-7571","type":"print"},{"value":"1423-0151","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009]]}}}