Boerhaave’s syndrome as an initial presentation of eosinophilic esophagitis: a case series
A 26-year-old Caucasian female with a history of asthma presented with 2 days of nausea, vomiting and subcutaneous chest wall crepitus. She was found to have pneumomediastinum and pneumopericardium with subcutaneous emphysema on CT scan (). Contrast swallow revealed no evidence of contrast extravasation (). The patient was managed conservatively and discharged after 48 h. She underwent follow up esophagoscopy 6 months later revealing proximal esophageal rings and intramucosal eosinophilic infiltration consistent with EoE.