Boerhaave syndrome CT: Difference between revisions
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==CT== | ==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 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. There will be evidence of extravasation of food particles or bile from the esophageal lumen into the pleural space or mediastinum. | ||
CT findings include:<ref name="pmid2225947">{{cite journal |vauthors=Backer CL, LoCicero J, Hartz RS, Donaldson JS, Shields T |title=Computed tomography in patients with esophageal perforation |journal=Chest |volume=98 |issue=5 |pages=1078–80 |year=1990 |pmid=2225947 |doi= |url=}}</ref> <ref name="pmid16793233">{{cite journal |vauthors=de Lutio di Castelguidone E, Merola S, Pinto A, Raissaki M, Gagliardi N, Romano L |title=Esophageal injuries: spectrum of multidetector row CT findings |journal=Eur J Radiol |volume=59 |issue=3 |pages=344–8 |year=2006 |pmid=16793233 |doi=10.1016/j.ejrad.2006.04.027 |url=}}</ref> <ref name="pmid23493470">{{cite journal |vauthors=Tonolini M, Bianco R |title=Spontaneous esophageal perforation (Boerhaave syndrome): Diagnosis with *CT-esophagography |journal=J Emerg Trauma Shock |volume=6 |issue=1 |pages=58–60 |year=2013 |pmid=23493470 |pmc=3589863 |doi=10.4103/0974-2700.106329 |url=}}</ref> | |||
* Esophageal wall edema and thickening | |||
* Periesophageal fluid | |||
* Mediastinal widening | |||
* Air and fluid in the pleural spaces, retroperitoneum, or lesser sac | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 15:20, 6 February 2018
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American Roentgen Ray Society Images of 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 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
- 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. There will be evidence of extravasation of food particles or bile from the esophageal lumen into the pleural space or mediastinum.
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.