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  • Title: [Spontaneous perforation of the esophagus (Boerhaave syndrome) in diffuse idiopathic muscular hypertrophy].
    Author: Hess B, Kaech F.
    Journal: Schweiz Med Wochenschr; 1982 Feb 20; 112(8):272-6. PubMed ID: 7079711.
    Abstract:
    "Spontaneous" rupture of the oesophagus is rare and happens after a marked rapid rise in intraluminal oesophageal pressure (massive vomiting, asthma etc.). As is known from the literature, forceful swallowing alone may produce spontaneous perforation in the case of damage to the mucosa or muscular layer of the oesophagus. Boerhaave's syndrome associated with rare diffuse idiopathic muscular hypertrophy of the lower oesophagus has been described in only three cases in the literature.
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