Recurrent pericardial syndromes following Boerhaave's syndrome: a complex clinical presentation and case report
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Published Version
Supplementary Data
Date
2025-06-14
Authors
Eltayeb, Musab
Byrne, Luke
Fitzgerald, Gearoid
Vaughan, Carl
Journal Title
Journal ISSN
Volume Title
Publisher
Oxford University Press
Published Version
Abstract
Background: Recurrent pericardial syndromes secondary to Boerhaave's syndrome (spontaneous oesophageal rupture) are exceedingly rare and represent diagnostic and therapeutic challenges. Case summary We present a case of a 46-year-old male with recurrent pericardial effusions and cardiac tamponade following Boerhaave's syndrome. Initial management included surgical repair of the oesophageal rupture and medical treatment for the subsequent effusions with colchicine, non-steroidal anti-inflammatory drugs, and corticosteroids. The patient experienced multiple recurrences despite medical therapy, necessitating a multidisciplinary approach. Ultimately, a pericardiectomy was performed, revealing significant pericardial adhesions and inflammation. Post-operative recovery was uneventful with recurrence of effusion. Discussion This case underscores the importance of early recognition and multidisciplinary management in recurrent pericardial syndromes associated with oesophageal rupture. While first-line medical therapy can be effective, persistent or refractory cases may require surgical intervention. Early surgical consultation should be considered when medical management fails.
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Keywords
Boerhaave's syndrome , Case report , Pericardial syndromes
Citation
Eltayeb, M., Byrne, L., Fitzgerald, G. and Vaughan, C. (2025) 'Recurrent pericardial syndromes following Boerhaave’s Syndrome: a complex clinical presentation and case report', European Heart Journal-Case Reports, 9(7), ytaf283 (5pp). https://doi.org/10.1093/ehjcr/ytaf283