Boerhaave’s syndrome as an initial presentation of eosinophilic esophagitis: a case series
A 22-year-old Caucasian male with a history of Crohn’s disease presented with vomiting, neck and chest pain and difficulty swallowing without food impaction. He was found to have pneumopericardium and pneumomediastinum with air tracking to the soft tissues of the neck on CT scan. He underwent contrast swallow without any evidence of extravasation. He was managed conservatively. He returned 2 months later with chest pain for 2 days and was found to have recurrent pneumomediastinum. Repeat water-soluble contrast study failed to reveal any contrast extravasation. Esophagoscopy was performed revealing a ringed esophagus secondary to EoE.