[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
November 7, 1977

Boerhaave's Syndrome: Spontaneous Formation of an Esophageal-Bronchial Fistula

Author Affiliations

From the Gastrointestinal Section, Department of Medicine, Hospital and School of Medicine of the University of Pennsylvania, Philadelphia.

JAMA. 1977;238(19):2048-2049. doi:10.1001/jama.1977.03280200060021

Although Boerhaave's syndrome is usually a surgical emergency, we recently observed a 57-year-old man with a chronic Boerhaave's syndrome. Initially, he responded to conservative management. However, the spontaneous formation of an esophageal-bronchial fistula complicated his course. Pulmonary symptoms and weight loss prompted surgical intervention. We speculate that the patient's six-week clinical course before surgery was tolerated because the contamination of the mediastinum following the initial esophageal tear was well contained and allowed sufficient time for the spontaneous formation of an esophageal-bronchial fistula.

(JAMA 238:2048-2049, 1977)