Boerhaave syndrome chest x ray: Difference between revisions
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* Erect radiograph chest posteroanterior view is the most useful in early diagnosis, as most of the patients will reveal an abnormal chest finding after the perforation. | * Erect radiograph chest posteroanterior view is the most useful in early diagnosis, as most of the patients will reveal an abnormal chest finding after the perforation. | ||
* The '''Naclerio V-sign''' may be seen on chest radiograph as radiolucent streaks of air seen in the retro-cardiac region in the V shape.<ref name="pmid28050085">{{cite journal |vauthors=Maurya VK, Sharma P, Ravikumar R, Bhatia M |title=Boerhaave's syndrome |journal=Med J Armed Forces India |volume=72 |issue=Suppl 1 |pages=S105–S107 |year=2016 |pmid=28050085 |pmc=5192176 |doi=10.1016/j.mjafi.2015.12.004 |url=}}</ref> | * The '''Naclerio V-sign''' may be seen on chest radiograph as radiolucent streaks of air seen in the retro-cardiac region in the V shape.<ref name="pmid28050085">{{cite journal |vauthors=Maurya VK, Sharma P, Ravikumar R, Bhatia M |title=Boerhaave's syndrome |journal=Med J Armed Forces India |volume=72 |issue=Suppl 1 |pages=S105–S107 |year=2016 |pmid=28050085 |pmc=5192176 |doi=10.1016/j.mjafi.2015.12.004 |url=}}</ref> | ||
The usual although unspecific radiographic features of BS include: | |||
* One-sided effusion (usually on the left) | |||
* lung infiltrates | |||
* atelectasis | |||
whereas more specific signs such as pneumothorax, pneumomediastinum and are rarely detected or very subtle | |||
In most patients with Boerhaave syndrome chest x-ray shows:<ref name="pmid28050085">{{cite journal |vauthors=Maurya VK, Sharma P, Ravikumar R, Bhatia M |title=Boerhaave's syndrome |journal=Med J Armed Forces India |volume=72 |issue=Suppl 1 |pages=S105–S107 |year=2016 |pmid=28050085 |pmc=5192176 |doi=10.1016/j.mjafi.2015.12.004 |url=}}</ref><ref name="pmid2730190">{{cite journal |vauthors=Pate JW, Walker WA, Cole FH, Owen EW, Johnson WH |title=Spontaneous rupture of the esophagus: a 30-year experience |journal=Ann. Thorac. Surg. |volume=47 |issue=5 |pages=689–92 |year=1989 |pmid=2730190 |doi= |url=}}</ref> | In most patients with Boerhaave syndrome chest x-ray shows:<ref name="pmid28050085">{{cite journal |vauthors=Maurya VK, Sharma P, Ravikumar R, Bhatia M |title=Boerhaave's syndrome |journal=Med J Armed Forces India |volume=72 |issue=Suppl 1 |pages=S105–S107 |year=2016 |pmid=28050085 |pmc=5192176 |doi=10.1016/j.mjafi.2015.12.004 |url=}}</ref><ref name="pmid2730190">{{cite journal |vauthors=Pate JW, Walker WA, Cole FH, Owen EW, Johnson WH |title=Spontaneous rupture of the esophagus: a 30-year experience |journal=Ann. Thorac. Surg. |volume=47 |issue=5 |pages=689–92 |year=1989 |pmid=2730190 |doi= |url=}}</ref> | ||
* [[Pneumothorax]] | * [[Pneumothorax]] | ||
* [[Hydropneumothorax]] | * [[Hydropneumothorax]] | ||
| Line 15: | Line 20: | ||
* [[Subcutaneous emphysema]] | * [[Subcutaneous emphysema]] | ||
* [[Widened mediastinum|Mediastinal widening]] | * [[Widened mediastinum|Mediastinal widening]] | ||
* pneumopericardium | |||
==References== | ==References== | ||
Revision as of 15:02, 6 February 2018
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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
Erect Radiograph chest posteroanterior view is the most useful in early diagnosis. In most patients with Boerhaave syndrome chest x-ray shows one-sided effusion, pneumothorax, hydropneumothorax, pneumomediastinum and subcutaneous emphysema.
Chest X Ray
- Erect radiograph chest posteroanterior view is the most useful in early diagnosis, as most of the patients will reveal an abnormal chest finding after the perforation.
- The Naclerio V-sign may be seen on chest radiograph as radiolucent streaks of air seen in the retro-cardiac region in the V shape.[1]
The usual although unspecific radiographic features of BS include:
- One-sided effusion (usually on the left)
- lung infiltrates
- atelectasis
whereas more specific signs such as pneumothorax, pneumomediastinum and are rarely detected or very subtle
In most patients with Boerhaave syndrome chest x-ray shows:[1][2]
- Pneumothorax
- Hydropneumothorax
- Pneumomediastinum
- Subcutaneous emphysema
- Mediastinal widening
- pneumopericardium
References
- ↑ 1.0 1.1 Maurya VK, Sharma P, Ravikumar R, Bhatia M (2016). "Boerhaave's syndrome". Med J Armed Forces India. 72 (Suppl 1): S105–S107. doi:10.1016/j.mjafi.2015.12.004. PMC 5192176. PMID 28050085.
- ↑ Pate JW, Walker WA, Cole FH, Owen EW, Johnson WH (1989). "Spontaneous rupture of the esophagus: a 30-year experience". Ann. Thorac. Surg. 47 (5): 689–92. PMID 2730190.