There are few published case reports of Boerhaave's syndrome presenting as a mid-esophageal perforation associated with a right-sided pleural effusion. We present an unusual case of spontaneous perforation of the mid-esophagus and discuss the surgical management and outcome. Our case underscores the importance of a meticulous diagnostic and therapeutic approach to the management of an often elusive and difficult disease process.
Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2015.