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Boerhaave's syndrome presenting as tension pneumothorax.
  1. W O Onyeka,
  2. S J Booth
  1. Accident and Emergency Department, Chelsea and Westminster Hospital, London.


    Boerhaave's syndrome can present initially as a case of tension pneumothorax. Mortality rate with delayed treatment is very high, therefore diagnosis should be made rapidly in the emergency department. Multidisciplinary cooperation, immediate radiological confirmation, prompt aggressive resuscitation, and surgical intervention offer the best chance of survival.

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