{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:10:53Z","timestamp":1789153853109,"version":"build-2803163510"},"reference-count":18,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2015,9,22]],"date-time":"2015-09-22T00:00:00Z","timestamp":1442880000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Intensive Care Med"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:p>Tension pneumothorax is a rare and potentially life-threatening clinical complication. A 43-year-old Caucasian woman with type 1 diabetes mellitus presented with nausea and retching and examination revealed dehydration. Laboratory parameters were consistent with a diagnosis of diabetic ketoacidosis, which responded to therapy. Suddenly, 30 hours later, she developed cardiorespiratory compromise due to a tension pneumothorax. After emergent decompression and catheter placement, computerized tomographic scan of the chest demonstrated esophageal-pleural fistula confirming Boerhaave syndrome as the etiology for the pneumothorax. The patient underwent emergent esophagectomy with pleural washout with a subsequent gastric pull-up surgery. Boerhaave syndrome frequently presents atypically with chest pain, dyspnea, and nausea. It communicates with the left pleural space in 80% to 90% of cases, but &lt;5% of cases involve the right pleural cavity. Unexplained and rapidly progressive pleural effusions have been associated with this entity. Only 4 cases of Boerhaave syndrome causing tension pneumothorax have been reported in the literature so far.<\/jats:p>","DOI":"10.1177\/0885066615606698","type":"journal-article","created":{"date-parts":[[2015,9,22]],"date-time":"2015-09-22T23:00:52Z","timestamp":1442962852000},"page":"349-352","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Boerhaave Syndrome Presenting as Tension Pneumothorax"],"prefix":"10.1177","volume":"31","author":[{"given":"Saraschandra","family":"Vallabhajosyula","sequence":"first","affiliation":[{"name":"Division of Critical Care Medicine, Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranathi R.","family":"Sundaragiri","sequence":"additional","affiliation":[{"name":"Division of Hospital Internal Medicine, Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilya G.","family":"Berim","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Creighton University School of Medicine, Omaha, NE, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,9,22]]},"reference":[{"key":"bibr1-0885066615606698","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-3-3"},{"key":"bibr2-0885066615606698","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2003.010421"},{"key":"bibr3-0885066615606698","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2010.02.031"},{"issue":"10","key":"bibr4-0885066615606698","first-page":"865","volume":"76","author":"Hingston CD","year":"2010","journal-title":"Minerva Anestesiol"},{"key":"bibr5-0885066615606698","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.01.082"},{"key":"bibr6-0885066615606698","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2012.11.013"},{"key":"bibr7-0885066615606698","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-009849"},{"key":"bibr8-0885066615606698","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2010.07.001"},{"key":"bibr9-0885066615606698","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2011.05.079"},{"issue":"4","key":"bibr10-0885066615606698","first-page":"289","volume":"70","author":"Marshall WB","year":"2002","journal-title":"AANA J"},{"key":"bibr11-0885066615606698","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.08.009"},{"issue":"4","key":"bibr12-0885066615606698","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/S0014-2565(01)70796-5","volume":"201","author":"Mendoza Hernandez JL","year":"2001","journal-title":"Rev Clin Esp"},{"issue":"9","key":"bibr13-0885066615606698","first-page":"1040","volume":"68","author":"Zanini G","year":"2010","journal-title":"Kardiol Pol"},{"key":"bibr14-0885066615606698","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2012-006485"},{"issue":"38","key":"bibr15-0885066615606698","first-page":"2235","volume":"174","author":"Braendholt Rasmussen K","year":"2012","journal-title":"Ugeskr Laeger"},{"key":"bibr16-0885066615606698","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2014.03.048"},{"key":"bibr17-0885066615606698","doi-asserted-by":"publisher","DOI":"10.1097\/01.mcg.0000225597.46943.06"},{"key":"bibr18-0885066615606698","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(95)90164-7"}],"container-title":["Journal of Intensive Care Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0885066615606698","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0885066615606698","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0885066615606698","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:55:37Z","timestamp":1777503337000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0885066615606698"}},"subtitle":["First Reported North American Case"],"short-title":[],"issued":{"date-parts":[[2015,9,22]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["10.1177\/0885066615606698"],"URL":"https:\/\/doi.org\/10.1177\/0885066615606698","relation":{},"ISSN":["0885-0666","1525-1489"],"issn-type":[{"value":"0885-0666","type":"print"},{"value":"1525-1489","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,22]]}}}