Esophageal perforation is one of the most lethal forms of mediastinitis that usually named as disaster, denoting its lethality. The most important factor in patient salvage is early diagnosis. Post emetic rupture or Boerhaaves syndrome is accounted for 10-15 percent of causes. Unfortunately due to its rarity, usually is misdiagnosed as other equally serious but more prevalent pathologies such as acute myocardial infarction, perforated peptic ulcer, pulmonary emboli and acute pancreatitis. Here in we report a case of this disease that presented with pulmonary symptoms and early diagnosis was pulmonary emboli that definitive diagnosis confirmed after 12 hour and successfully treated with primary repair. As a conclusion it must be in differential diagnosis of acute onset chest symptoms such as chest pain or dyspnea.

  Source: Urmia Med J 2011: 22(2):155 ISSN: 1027-3727