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Oesophageal perforation and Boerhaave syndrome

Recognise spontaneous and iatrogenic oesophageal perforation early, resuscitate mediastinal sepsis, define the leak with CT and contrast studies, and obtain immediate expert source-control planning.

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Mediastinal contamination after oesophageal rupture

Transmural leakage of saliva, gastric contents and bacteria causes rapidly progressive mediastinitis, pleural contamination, shock and multiorgan failure.

Action: Keep nil by mouth, start ABCDE resuscitation and broad intravenous antimicrobial therapy, obtain urgent contrast CT and contact upper-GI surgery, endoscopy, radiology, anaesthesia and critical care for drainage and defect control.

Open the sections you need. The overview is shown first.
01OverviewDefinition, clinical context and the essential points that orientate the chapter.

A sudden pressure rise against a closed cricopharyngeus during vomiting commonly tears the distal left posterolateral oesophagus in Boerhaave syndrome. Instrumentation can injure anywhere, particularly across strictures or after therapeutic dilation. Leakage causes chemical injury followed by polymicrobial infection. Pain may radiate to the back or shoulder, and dyspnoea or sepsis can dominate; a normal early chest radiograph does not exclude disease.

CT shows extraluminal gas, wall disruption, pleural effusion and collections and can demonstrate active oral-contrast leak. A water-soluble contrast swallow adds dynamic localisation when the patient is stable and CT is equivocal, but a negative study does not overrule convincing clinical and CT evidence. Endoscopy can inspect or treat but insufflation may worsen contamination and should occur only within the definitive expert plan.

Management pairs defect control with drainage. Endoscopic clips, covered stents or vacuum therapy suit selected defects with viable tissue and accessible anatomy. Surgery may debride, repair with vascularised buttress, divert or resect when contamination is extensive, tissue is non-viable or cancer or end-stage oesophagus underlies rupture. Non-operative care is an active monitored pathway with serial imaging, drainage, nutrition and a low threshold to intervene.

Key points

  • Boerhaave syndrome is spontaneous full-thickness rupture after forceful vomiting; iatrogenic injury after endoscopy or dilation is a common alternative mechanism.
  • The classical triad is insensitive, so use the event and physiological trajectory rather than waiting for vomiting, pain and subcutaneous emphysema together.
  • Contrast-enhanced CT of neck, chest and upper abdomen with oral contrast when appropriate identifies air, fluid, leak site and pleural or mediastinal contamination.
  • Initial treatment includes nil by mouth, immediate resuscitation, broad intravenous antibacterial cover for aerobic and anaerobic organisms, analgesia, organ support, drainage and nutrition planning; obtain cultures only when doing so does not delay treatment.
  • A promptly recognised small iatrogenic perforation may be closed endoscopically within a planned expert pathway. A free thoracic Boerhaave rupture with contamination generally needs urgent operative source control and primary repair when feasible, plus debridement and drainage.
  • Time matters because tissue oedema, necrosis and sepsis worsen the chance of primary repair, but treatment selection still depends on location, cause, viability and underlying disease.
02AetiologyUnderlying causes, associations and risk factors, with why each one matters.
01

Pressure rupture

Forceful vomiting against a closed upper sphincter abruptly raises intraluminal pressure and can tear the distal oesophagus.

02

Iatrogenic injury

Endoscopy, dilation, mucosal resection, difficult tube passage and thoracic or upper gastrointestinal surgery can perforate either normal wall or tissue weakened by disease.

03

Pathological wall failure

Cancer, caustic injury, severe inflammation or retained foreign material weakens tissue and can cause spontaneous or procedural breach.

03PathophysiologyThe causal sequence from the underlying abnormality to symptoms and harm.
  1. 1
    Chemical contamination

    Saliva, gastric acid, digestive enzymes and food enter mediastinal tissues and pleural spaces, causing immediate chemical inflammation before established bacterial infection.

  2. 2
    Polymicrobial sepsis

    Oral and gastrointestinal organisms multiply in devitalised mediastinal tissue and undrained pleural collections, producing capillary leak, septic shock and multiorgan failure.

  3. 3
    Progressive tissue loss

    Delay permits oedema, necrosis and enlargement of the defect, reducing the feasibility of simple primary closure.

04Clinical features and red flagsSymptoms, examination findings, patterns of presentation and time-critical warnings.
Post-emetic ruptureRed flag

Abrupt severe chest or epigastric pain after forceful vomiting is the key Boerhaave context, even without palpable crepitus.

Post-procedural injury

New pain, tachycardia, fever or breathlessness after dilation, endoscopic resection or foreign-body removal demands urgent investigation.

Cervical leak

Neck pain, dysphagia, voice change and cervical emphysema may follow proximal perforation and can spread into the mediastinum.

Thoracic contamination

Pleural fluid, hypoxaemia and shock suggest free mediastinal and pleural soilage rather than a tiny contained defect.

Delayed presentation

Temporary analgesic improvement does not prevent progressive infection; unexplained sepsis after vomiting or instrumentation should reopen the diagnosis.

Red flags requiring action

  • Severe chest, neck or epigastric pain after vomiting, endoscopy or dilation with tachycardia, dyspnoea, fever or crepitus is perforation until excluded.
  • Shock, pleural effusion, pneumomediastinum or rapidly increasing oxygen need indicates established contamination and requires immediate source control.
05InvestigationsWhat to request, why it matters and how to interpret it.
Investigation order

Read from the initial assessment onwards. Tests may run in parallel in urgent care; first-line, preferred, confirmatory, definitive and gold-standard labels appear only when the chapter explicitly states them.

  1. 01
    Contrast-enhanced CTFirst step
    Why
    Map perforation, extraluminal gas, collections and pleural contamination.
    Interpretation and limitations
    Scan the relevant neck, chest and upper abdomen; oral contrast can show active leakage, while absence of visible extravasation does not exclude a contained tear.
  2. 02
    Water-soluble contrast swallow
    Why
    Demonstrate dynamic leak site in a stable cooperative patient.
    Interpretation and limitations
    A negative initial study may miss a small perforation and should not delay treatment when CT and physiology are convincing.
  3. 03
    Pleural fluid analysis
    Why
    Identify oesophageal contamination when an effusion is drained.
    Interpretation and limitations
    Food debris, very low pH or high salivary amylase supports communication, but source control should not wait for every laboratory result.
  4. 04
    Endoscopy in a planned setting
    Why
    Define mucosa and provide clip, stent or vacuum therapy in selected defects.
    Interpretation and limitations
    Insufflation and passage can enlarge injury, so diagnostic endoscopy is not a casual substitute for CT and should involve the treating team.
  5. 05
    Serial sepsis and organ assessment
    Why
    Determine response to drainage and closure.
    Interpretation and limitations
    Track perfusion, lactate, oxygenation, urine output, inflammatory markers and drain character; a technically placed stent does not prove control.
06Differential diagnosisRealistic alternatives and the features that help distinguish them.
01

Acute coronary syndrome

Chest pain with vomiting and autonomic symptoms still requires ECG and troponin while perforation is assessed from context and imaging.

02

Aortic catastrophe

Abrupt chest or back pain and shock may reflect dissection or rupture; contrast CT protocol must address the plausible vascular emergency.

03

Spontaneous pneumothorax

Dyspnoea and pleuritic pain can arise from pleural air without an oesophageal leak, distinguished by history and CT findings.

07ManagementImmediate care, first-line treatment, alternatives and escalation.
01Emergency source controlOperate on a free contaminated thoracic rupture when feasibleFirst stepAfter repeated vomiting, an adult develops shock; CT shows a free distal thoracic leak and a large left pleural collection.
  1. 1Begin ABCDE resuscitation, keep nil by mouth, obtain blood and pleural cultures only if this causes no treatment delay, and start the hospital’s verified oesophageal-rupture antimicrobial regimen with immediate microbiology input.
  2. 2Assemble upper-GI surgery, endoscopy, radiology, anaesthesia and critical care and drain pleural contamination promptly; shock and free leakage make simple endoscopic clipping inappropriate even though CT cannot directly certify tissue-edge viability.
  3. 3At urgent operation, direct inspection finds devitalised rupture edges; debride back to viable tissue, perform tension-free primary repair with buttress and drain mediastinal and pleural spaces. Reserve stent, vacuum therapy, diversion or resection for anatomy, tissue or underlying disease that makes primary repair unsuitable.
  4. 4In critical care, provide specialist-directed enteral feeding distal to the repair or parenteral support as appropriate while swallowing remains unsafe. Verify source control through falling vasopressor and oxygen requirements, controlled drain character and interval contrast assessment before reintroducing oral intake across the repair.
02Contained cervical injuryUse monitored non-operative careA small cervical perforation is contained, the patient is stable and there is no distal obstruction.
  1. 1Admit under specialist care, keep nil by mouth initially and provide intravenous antimicrobials and nutrition.
  2. 2Drain any collection and use repeat clinical and imaging assessment to confirm containment.
  3. 3EscalationEscalate to endoscopic or operative therapy for worsening pain, leak, sepsis or loss of containment.
  4. 4Demonstrate safe healing before oral intake is advanced.
03Underlying diseaseTreat beyond the holeA perforation occurs through an obstructing oesophageal cancer.
  1. 1Resuscitate physiological collapse and control pleural or mediastinal contamination immediately.
  2. 2Obtain tissue and staging information only as safely feasible without delaying sepsis treatment.
  3. 3Choose stenting, resection, diversion or palliation through the cancer and emergency MDT according to fitness and goals.
  4. 4Confirm nutrition, symptom control and oncology ownership after the acute episode.
Key medicines and prescribing safety1 treatment · regimens, roles and cautions
This dated document illustrates one local complete empiric combination alongside urgent repair and drainage; it is not a current national WSES regimen. WSES supports immediate broad intravenous aerobic and anaerobic antibacterial cover plus source control, with current drug selection and duration agreed with the receiving hospital and microbiology. Fluconazole was an additional choice in the dated NBT pathway and must not be universalised as routine antifungal treatment.

Dated North Bristol oesophageal-rupture antimicrobial example (current status unconfirmed)

North Bristol NHS Trust antimicrobial guideline v7.3 is dated October 2022, was due for review in July 2023 and had no issuing-body confirmation of current validity when checked on 8 September 2026. Its historical adult oesophageal-rupture example is co-trimoxazole 960 mg IV twice daily plus metronidazole 500 mg IV three times daily plus fluconazole 400 mg IV once daily. Although the site table prints five days, the same document directs oesophageal-rupture duration to a medical microbiologist, so duration must follow current receiving-hospital policy and microbiology advice. Co-trimoxazole 960 mg is 10 mL of 16 mg/80 mg per mL concentrate, usually added to 250 mL compatible infusion fluid such as sodium chloride 0.9% and infused over 60–90 minutes. At creatinine clearance 15–30 mL/min use 480 mg every 12 hours; below 15 mL/min this product is not recommended. Infuse metronidazole 500 mg/100 mL at about 5 mL/min. Infuse fluconazole 2 mg/mL at no more than 10 mL/min; for multiple dosing at creatinine clearance 50 mL/min or less in a non-dialysis patient, give the initial dose then 50% of the maintenance dose.

Do not use this dated example as a live prescription without current local confirmation and pharmacy/microbiology review of the entire combination. Co-trimoxazole is contraindicated in the first trimester of pregnancy, acute porphyria and previous drug-induced immune thrombocytopenia caused by trimethoprim or a sulfonamide; also exclude relevant hypersensitivity and severe liver impairment. Review renal function, potassium, sodium, blood counts, rash risk and interactions including warfarin, methotrexate, ACE inhibitors, ARBs and potassium-sparing diuretics. The usual 10 mL concentrate-in-250 mL dilution must be checked against fluid status and the exact compatible-fluid table; do not invent a concentrated alternative for fluid restriction. With metronidazole, avoid alcohol, review coumarin anticoagulants and neurological toxicity, and reduce the daily dose to one third in hepatic encephalopathy. With fluconazole, review QT interactions, electrolytes, liver toxicity and sodium/fluid load. Reassess all agents after source control and culture results.

08ComplicationsImportant consequences, why they occur and why they matter clinically.
01

Mediastinitis

Infected mediastinal tissues can progress rapidly to abscess, pleural empyema, vascular erosion, refractory septic shock, respiratory failure and death.

02

Pleural empyema

Leakage into the chest creates a contaminated effusion requiring effective drainage in addition to luminal control.

03

Late stricture

Healing by fibrosis after repair, stenting or caustic inflammation can produce recurrent dysphagia requiring careful reassessment.

09Monitoring and follow-upTreatment response, safety checks and longer-term review.
  • Repeat observations, lactate, oxygen requirement and urine output through the early source-control period.
  • Measure drain quantity and content and correlate with oral intake and imaging.
  • Provide enteral feeding distal to the leak or parenteral nutrition according to anatomy and duration.
  • Reimage persistent fever, pain, respiratory failure or inflammatory rise for undrained contamination or device migration.
  • After healing, assess stricture, reflux, swallowing, nutrition and the underlying cause of rupture.
10Special situationsVariants, exceptions and circumstances that change the usual approach.

Mackler triad is insensitive

Absence of emphysema does not make severe post-emetic chest pain safe.

Location changes contamination

Cervical leaks may remain contained, while thoracic tears rapidly soil mediastinum and pleural cavities.

Closure alone can fail

A perfectly covered defect remains dangerous if infected pleural and mediastinal collections are not drained.

Stents require ownership

Migration, pressure injury and removal timing are active clinical issues, not administrative afterthoughts.

11Common pitfallsFrequent interpretation and management errors.
  1. 01

    Treating post-vomiting chest pain as reflux without imaging when physiology is abnormal.

  2. 02

    Relying on a normal early chest radiograph to exclude perforation.

  3. 03

    Performing unplanned diagnostic endoscopy that enlarges the defect or delays CT.

  4. 04

    Closing the lumen while leaving pleural or mediastinal contamination undrained.

Practice

Two practice questions

Question 1 of 20 correct
Upper gastrointestinal and hepatopancreatobiliary surgeryOriginal SBA

Post-emetic thoracic emergency

A patient develops sudden severe chest pain, dyspnoea and tachycardia immediately after forceful vomiting. Examination suggests a new left pleural effusion. Which diagnosis requires urgent exclusion from this pattern?

Sources and review status8 sources · checked 8 Sept 2026 · clinical review pending
Sources

Sources and review status

National guidance is shown before implementation-dependent detail. Typical adult dose examples remain subject to patient factors, contraindications and the live BNF or specialist protocol. Source check completed 8 Sept 2026; clinical approval remains outstanding.

Authoring stateComplete draftClinical stateAwaiting reviewJurisdictionUnited Kingdom