Recurrent pericardial syndromes following Boerhaave's syndrome: a complex clinical presentation and case report
| dc.contributor.author | Eltayeb, Musab | en |
| dc.contributor.author | Byrne, Luke | en |
| dc.contributor.author | Fitzgerald, Gearoid | en |
| dc.contributor.author | Vaughan, Carl | en |
| dc.date.accessioned | 2025-07-17T14:43:55Z | |
| dc.date.available | 2025-07-17T14:43:55Z | |
| dc.date.issued | 2025-06-14 | en |
| dc.description.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. | en |
| dc.description.status | Peer reviewed | en |
| dc.description.version | Published Version | en |
| dc.format.mimetype | application/pdf | en |
| dc.identifier.articleid | ytaf283 | en |
| dc.identifier.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 | en |
| dc.identifier.doi | 10.1093/ehjcr/ytaf283 | en |
| dc.identifier.endpage | 5 | |
| dc.identifier.issn | 25142119 | en |
| dc.identifier.issued | 7 | |
| dc.identifier.journaltitle | European Heart Journal - Case Reports | en |
| dc.identifier.startpage | 1 | |
| dc.identifier.uri | https://hdl.handle.net/10468/17718 | |
| dc.identifier.volume | 9 | |
| dc.language.iso | en | en |
| dc.publisher | Oxford University Press | en |
| dc.rights | © 2025 The Author(s). Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. | en |
| dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
| dc.subject | Boerhaave's syndrome | en |
| dc.subject | Case report | en |
| dc.subject | Pericardial syndromes | en |
| dc.subject | ~Medicine - Journal Articles~ | en |
| dc.title | Recurrent pericardial syndromes following Boerhaave's syndrome: a complex clinical presentation and case report | en |
| dc.type | Article (peer reviewed) | en |
