Boerhaave syndrome: an unusual myocardial infarction mimic-a case report

Background A rare complication of oesophageal rupture or Boerhaave syndrome is myopericarditis due to leakage of oesophageal contents. This presentation can mimic a myocardial infarction, making diagnosis and management challenging.Case summary We present the case of a middle-aged man presenting with chest pain, who was diagnosed with Boerhaave syndrome complicated by myopericarditis, although the presentation was concerning for acute coronary syndrome.Discussion Through this case, we aim to highlight an unusual alternative aetiology of findings classically seen in myocardial infarction.