Amir Yousaf, Muhammad Yasir Naseem, Muhammad Azam Arif, Pir Muneeb Rehman, Nizam Abdul Qadir.
Boerhaave`s syndrome after successful laparoscopic cholecystectomy - Case Report.
Isra Med J Jan ;11(5):411-4.

Minimal invasive surgery has extended its frame of reference enormously. It has been the favored methodology in many surgical procedures, like laparoscopic cholecystectomy. It is the most common laparoscopic procedure done nowadays, for cholelithiasis and other gallbladder pathologies. Boerhaave`s Syndrome (BS), with a classical triad of vomiting and retching, chest or abdominal pain and Subcutaneous Emphysema (SE), is an uncommon condition. It is described by a transmural tear of the distal esophagus initiated by an abrupt increase in intra luminal pressure. Making a diagnosis is challenging and treatment might be conservative, endoscopic or surgical. This case report presents a patient with postoperative surgical emphysema. A thirty-three-years old female patient presented in out-patient surgery with history of right upper quadrant pain and was diagnosed with cholelithiasis who developed surgical emphysema of upper part of the body after a successful laparoscopic cholecystectomy.

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