1. Clinic of Upper Gastro Intestinal Tract Surgery Department of Digestive Surgery ULB- Erasme Hospital Eleonora Farinella

2. ♂ 57 years old Transfer to another hospital for: Septic shock and ARDS Clinical Presentation: Violent vomiting Vomiting blood Chest pain Abdominal pain Dyspnea

3. Pneumomediastinum Pneumo-hydrothorax Perforation third lower esophagus

4. 600cc Digestive fluid

5. Boerhaave syndrome Definition: Spontaneous perforation Hypertension (290 mmHg) Lower thirds Left side: 80% Height: 3-6 cm Korn et al Surgery 2007

6. 1.Surgery 2.Conservative treatment

7. Join us for the 2nd spring meeting of BSUGIS @ Imelda hospital Bonheiden!