This document summarizes the anatomy, pathophysiology, diagnosis, and treatment of spontaneous esophageal rupture (SER), also known as Boerhaave's syndrome. It describes the anatomy of the esophagus and explains that SER usually occurs due to vomiting against a closed upper esophageal sphincter, which increases intraesophageal pressure and can cause a tear. Diagnosis involves considering the patient's history, symptoms of chest and abdominal pain, and findings on imaging tests. Treatment involves antibiotics, nothing by mouth, gastric decompression, and possibly surgery if symptoms do not improve with initial non-operative management. Early diagnosis and treatment are important for prognosis.

1. SPONTANEOUS ESOPHAGEAL RUPTURE Su HaiYan DEPARTMENT OF EMERGENCY MEDICINE, THE FIRST CLINICAL COLLEGE OF TIANJIN MEDICAL UNIVERSITY

38. Diagnosis At an early stage the radiographic examination may be normal. 1~2 hours later it may take on mediastinal air with or without subcutaneous emphysema. Several hours later it may take on widened mediastinum. Left-side pleural effusion ,Pneumothorax And hydropneumothorax may also occur.

42. Diagnosis