Boerhaave syndrome CT

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamed Diab, MD [2] Shaghayegh Habibi, M.D.[3]

Overview

CT of the chest and the abdomen should be performed when a suspected esophageal perforation is difficult to locate on contrast esophagogram, when contrast esophagogram can not be performed (e.g, uncooperative or unstable patients, patients with free peritoneal air, and patients with localized collections of fluid for surgical drainage).

CT

CT of the chest and the abdomen should be performed when a suspected esophageal perforation is difficult to locate on contrast esophagogram, when contrast esophagogram can not be performed (e.g, uncooperative or unstable patients, patients with free peritoneal air, and patients with localized collections of fluid for surgical drainage).
There will be evidence of extravasation of food particles or bile from the esophageal lumen into the pleural space or mediastinum.^[1]

CT findings include:^[2]^[3]^[4]

Esophageal wall edema and thickening
Peri-esophageal fluid
Mediastinal widening
Air and fluid in the pleural spaces, retroperitoneum, or lesser sac

References

↑ Malik UF, Young R, Pham HD, McCon A, Shen B, Landres R, Mahmoud A (2010). “Chronic presentation of Boerhaave’s syndrome”. BMC Gastroenterol. 10: 29. doi:10.1186/1471-230X-10-29. PMC 2847967. PMID 20226056.
↑ Backer CL, LoCicero J, Hartz RS, Donaldson JS, Shields T (1990). “Computed tomography in patients with esophageal perforation”. Chest. 98 (5): 1078–80. PMID 2225947.
↑ de Lutio di Castelguidone E, Merola S, Pinto A, Raissaki M, Gagliardi N, Romano L (2006). “Esophageal injuries: spectrum of multidetector row CT findings”. Eur J Radiol. 59 (3): 344–8. doi:10.1016/j.ejrad.2006.04.027. PMID 16793233.
↑ Tonolini M, Bianco R (2013). “Spontaneous esophageal perforation (Boerhaave syndrome): Diagnosis with *CT-esophagography”. J Emerg Trauma Shock. 6 (1): 58–60. doi:10.4103/0974-2700.106329. PMC 3589863. PMID 23493470.

Template:WH Template:WS

[pmid20226056-1] Malik UF, Young R, Pham HD, McCon A, Shen B, Landres R, Mahmoud A (2010). “Chronic presentation of Boerhaave’s syndrome”. BMC Gastroenterol. 10: 29. doi:10.1186/1471-230X-10-29. PMC 2847967. PMID 20226056.

[pmid2225947-2] Backer CL, LoCicero J, Hartz RS, Donaldson JS, Shields T (1990). “Computed tomography in patients with esophageal perforation”. Chest. 98 (5): 1078–80. PMID 2225947.

[pmid16793233-3] Lutio di Castelguidone E, Merola S, Pinto A, Raissaki M, Gagliardi N, Romano L (2006). “Esophageal injuries: spectrum of multidetector row CT findings”. Eur J Radiol. 59 (3): 344–8. doi:10.1016/j.ejrad.2006.04.027. PMID 16793233.

[pmid23493470-4] Tonolini M, Bianco R (2013). “Spontaneous esophageal perforation (Boerhaave syndrome): Diagnosis with *CT-esophagography”. J Emerg Trauma Shock. 6 (1): 58–60. doi:10.4103/0974-2700.106329. PMC 3589863. PMID 23493470.

[1]

[2]

[3]

[4]