Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Boerhaave syndrome as a complication of colonoscopy preparation: a case report | Emmanouilidis et al. Journal of Medical Case Reports 2011 5 544 http content 5 1 544 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Boerhaave syndrome as a complication of colonoscopy preparation a case report Nikos Emmanouilidis Mark Dietrich Jager Michael Winkler and Jurgen Klempnauer Abstract Introduction Colonoscopy is one of the most frequently performed elective and invasive diagnostic interventions. For every colonoscopy complete colon preparation is mandatory to provide the best possible endoluminal visibility for example the patient has to drink a great volume of a non-resorbable solution to flush out all feces. Despite the known possible nauseating side effects of colonoscopy preparation and despite the knowledge that excessive vomiting can cause rupture of the distal esophagus Boerhaave syndrome which is a rare but severe complication with high morbidity and mortality it is not yet a standard procedure to provide a patient with an anti-emetic medication during a colon preparation process. This is the first report of Boerhaave syndrome induced by colonoscopy preparation and this case strongly suggests that the prospect of being at risk of a severe complication connected with an elective colonoscopy justifies a non-invasive inexpensive yet effective precaution such as an anti-emetic co-medication during the colonoscopy preparation process. Case presentation A 73-year-old Caucasian woman was scheduled to undergo elective colonoscopy. For the colonoscopy preparation at home she received commercially available bags containing soluble polyethylene glycol powder. No anti-emetic medication was prescribed. After drinking the prepared solution she had to vomit excessively and experienced a sudden and intense pain in her back. An immediate computed tomography CT scan revealed a rupture of the distal esophagus Boerhaave syndrome . After initial conservative treatment by endoluminal sponge vacuum therapy she was taken to the .
