MULTIMODALITY IMAGING APPROACH FOR THE EARLY DIAGNOSIS BOERHAAVE SYNDROME
Abstract
Boerhaave’s syndrome is a spontaneous transmural rupture or perforation of the oesophagus or post-emesis oesophageal rupture. Boerhaave’s syndrome has a high risk of morbidity and mortality, and early, definitive diagnosis leading to prompt management improves outcomes. Definitive diagnosis of this syndrome is made with imaging, including x-ray, USG and computed tomography Scan. This is a case of a 50-year male with history of sudden onset of epigastric pain after an episode of forceful emesis was referred for Ultrasound (USG) abdomen. His USG examination demonstrated fluid collection with internal free floating and linear echoes in left pleural cavity consistent with hemo-pneumothorax his further imaging workup was done with suspicious of Boerhaave’s Syndrome which conformed the suspected diagnosis.Keywords: Boerhaave’s Syndrome; Pneumomediastinum; OesophagusReferences
Beason HF, Markowitz JE. Pneumomediastinum Diagnosed on Ultrasound in the Emergency Department: A Case Report. Perm J 2015;19(3):e122–4.
Dickinson KJ, Buttar N, Wong Kee Song LM, Gostout CJ, Cassivi SD, Allen MS, et al. Utility of endoscopic therapy in the management of Boerhaave syndrome. Endosc Int Open 2016;4(11):E1146–50.
ACEP Board of Directors, ACEP Policy Statement: Emergency Ultrasound Guidelines, ACEP, Dallas, Tex, USA, 2008.
Tamatey MN, Sereboe LA, Tettey MM, Entsua-Mensah K, Gyan B. Boerhaave's Syndrome: Diagnosis and Successful Primary Repair One Month After the Oesophageal Perforation. Ghana Med J 2013;47(1):535.
Dżeljilji A, Rokicki W, Rokicki M. A rare case of duodenal ulcer perforation accompanied by Boerhaave syndrome. Kardiochir Torakochirurgia Pol 2015;12(3):262–5.
Oh MK, Jeon WJ, Cho SY, Kwon YD, Kim KH. Development of bilateral tension pneumothorax under anesthesia in a Boerhaave's syndrome patient: a case report. Korean J Anesthesiol 2016;69(2):175–80.
Published
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.