VOMITING IN PREGNANCY RESULTING IN ESOPHAGEAL-PERFORATION IN A 15-YEAR-OLD

Spontaneous perforation of the oesophagus is extremely rare in childre n, as is perforation due to vomiting in pregnancy. We report the case of a 15-year-old in whom vomiting in early pregnancy resulted in oesop hageal perforation with subcutaneous emphysema causing marked facial s welling in the absence of other signs. The more common clinical presen tation of spontaneous oesophageal rupture (Boerhaave's syndrome) is di scussed.