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Boerhaave's syndrome

Harston CH - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Boerhaave's syndrome

History: 85 year old woman reported vomiting several times after eating, probably secondary to food poisoning. While retching she experienced sudden severe pain in her mid chest and began to vomit blood.

Findings: CXR shows left-sided pleural effusion. CT confirms left sided pleural effusion and also shows “bubbly” pneumomediastinum. UGI shows small perforation on left side of distal esophagus near the GE junction. There is spasm of the esophagus probably as a result of the perforation. There is also a large amount of aspirated contrast material.

Ddx: Esophageal perforation from ingested foreign object, infection, neoplasm, or instrumentation.

Dxhow: The diagnosis was confirmed by surgical repair of the esophageal perforation.

No MeSH data available.


Chest X-ray shows left pleural effusion
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MPX1920_synpic18741: Chest X-ray shows left pleural effusion


Boerhaave's syndrome

Harston CH - MedPix (2005)

Chest X-ray shows left pleural effusion
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1920&req=5

MPX1920_synpic18741: Chest X-ray shows left pleural effusion

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Boerhaave's syndrome

History: 85 year old woman reported vomiting several times after eating, probably secondary to food poisoning. While retching she experienced sudden severe pain in her mid chest and began to vomit blood.

Findings: CXR shows left-sided pleural effusion. CT confirms left sided pleural effusion and also shows “bubbly” pneumomediastinum. UGI shows small perforation on left side of distal esophagus near the GE junction. There is spasm of the esophagus probably as a result of the perforation. There is also a large amount of aspirated contrast material.

Ddx: Esophageal perforation from ingested foreign object, infection, neoplasm, or instrumentation.

Dxhow: The diagnosis was confirmed by surgical repair of the esophageal perforation.

No MeSH data available.