MULTIMODALITY IMAGING APPROACH FOR THE EARLY DIAGNOSIS BOERHAAVE SYNDROME
AbstractBoerhaave’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; Oesophagus
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.