Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Boerhaave syndrome CT
Introduction
Overview
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
- 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]
- Esophageal wall edema and thickening
- Peri-esophageal fluid
- Mediastinal widening
- Air and fluid in the pleural spaces, retroperitoneum, or lesser sac
References
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.
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]