Introduction:

Esophageal perforation is one of the most serious and difficult emergencies that a surgeon has to face due to the characteristics and location of the organ. Such prognosis depends mainly on the speed of the diagnosis and the choice of treatment established initially.

Objectives:

To present a case with such syndrome and to review the literature to update the therapeutic approach of this entity given its high mortality.

Clinical case:

Male patient in the fifth decade of life who presented for chest pain after an emetic condition. After a radiographic study, a spontaneous rupture of the esophagus or Boerhaave syndrome was diagnosed.

Conclusions:

The appropriate therapeutic approach associated with the early and timely diagnosis of the syndrome guarantees better survival rates.

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