Boerhaave syndrome CT: Difference between revisions
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** Mediastinal widening | ** Mediastinal widening | ||
** Air and fluid in the pleural spaces, retroperitoneum, or lesser sac | ** Air and fluid in the pleural spaces, retroperitoneum, or lesser sac | ||
==References== | ==References== |
Revision as of 20:33, 28 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
CT
- CT of the chest and if necessary of the abdomen should be performed when a suspected esophageal perforation is difficult to locate on contrast esophagram, when contrast esophagogram cannot be performed (eg, uncooperative or unstable patient), in patients with free peritoneal air, and to localize collections of fluid for surgical drainage.
- CT findings include:[1] [2] [3]
- Esophageal wall edema and thickening
- Periesophageal fluid
- Mediastinal widening
- Air and fluid in the pleural spaces, retroperitoneum, or lesser sac
References
- ↑ 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.