Boerhaave Syndrome on Endoscopy Another spontaneous esophageal perforation (Boerhaave Syndrome) with gross mediastinal soiling from retching a food bolus (21 h delay) Patient underwent VATs and chest tubes. I suctioned food debris from mediastinum. EVAC therapy started. Andy Tau, MD @DrBloodandGuts #Boerhaave #Syndrome #Endoscopy #EGD #esophageal #perforation #clinical #gastroenterology