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Year : 2017  |  Volume : 3  |  Issue : 2  |  Page : 271-273

Spontaneous esophageal rupture: A case of back pain

Department of Emergency Medicine, University of Tennessee College of Medicine, Nashville; Emergency Medicine Residency Program, Saint Thomas - Rutherford Hospital, Murfreesboro, TN, USA

Correspondence Address:
Dr. Michael I Silberman
1840 Medical Center Parkway, Suite 403, Murfreesboro, TN 37129
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJAM.IJAM_27_17

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Esophageal rupture is a rupture of the esophageal wall usually brought on by a sudden increase in intraluminal esophageal pressure. This disease is life threatening, and the mortality of patients is time dependent. We describe a case of an elderly woman who presented to the emergency department on 2 consecutive days, the 1st day with acute lumbar back pain and the 2nd day critically ill with altered mental status, hypotension, and shortness of breath. The patient was ultimately diagnosed with spontaneous esophageal perforation. The following core competencies are addressed in this article: Practice-based learning and improvement, Medical knowledge, and Patient care.

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