Rupture spontanée de l'œsophage

The spontaneous rupture of the esophagus is a rare pathology. The diagnostic is difficult in its incomplete or unusual forms. The risk to be faced with this pathology in prehospital medicine is even weaker but it is a diagnosis which must be known in order to be able to manage it. We report here the case of a patient who had at the time of the call chest pain and vomiting. His clinical state became rapidly critical, finally proving to be a Boerhaave's syndrome. The positive outcome was due to a re-establishment of the primary erroneous diagnosis and an adapted treatment.