• All previously reported determinations of pleural fluid amylase in Boerhaave's syndrome have demonstrated elevated values. We treated a patient with Sjögren's syndrome who had a low pleural fluid amylase level and the concomitant unusual finding of leakage of esophageal contents into the right pleural space.
(Arch Intern Med 1983;143:1034-1035)
Rudin JS, Ellrodt AG, Phillips EH. Low Pleural Fluid Amylase Associated With Spontaneous Rupture of the Esophagus. Arch Intern Med. 1983;143(5):1034–1035. doi:10.1001/archinte.1983.00350050200040