Boerhaave syndrome other imaging findings: Difference between revisions
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==Other Imaging Findings== | ==Other Imaging Findings== | ||
* The diagnosis of esophageal perforation should be confirmed by water-soluble contrast esophagram (Gastrograffin), which reveals the location and extent of extravasation of contrast material. If the water-soluble study is negative, a barium study should be performed for better definition.<ref name="pmid3753071">{{cite journal |vauthors=Bladergroen MR, Lowe JE, Postlethwait RW |title=Diagnosis and recommended management of esophageal perforation and rupture |journal=Ann. Thorac. Surg. |volume=42 |issue=3 |pages=235–9 |year=1986 |pmid=3753071 |doi= |url=}}</ref> <ref name="pmid7089304">{{cite journal |vauthors=Dodds WJ, Stewart ET, Vlymen WJ |title=Appropriate contrast media for evaluation of esophageal disruption |journal=Radiology |volume=144 |issue=2 |pages=439–41 |year=1982 |pmid=7089304 |doi=10.1148/radiology.144.2.7089304 |url=}}</ref> | * The diagnosis of esophageal perforation should be confirmed by water-soluble contrast esophagram (Gastrograffin), which reveals the location and extent of extravasation of contrast material. If the water-soluble study is negative, a barium study should be performed for better definition.<ref name="pmid3753071">{{cite journal |vauthors=Bladergroen MR, Lowe JE, Postlethwait RW |title=Diagnosis and recommended management of esophageal perforation and rupture |journal=Ann. Thorac. Surg. |volume=42 |issue=3 |pages=235–9 |year=1986 |pmid=3753071 |doi= |url=}}</ref><ref name="pmid7089304">{{cite journal |vauthors=Dodds WJ, Stewart ET, Vlymen WJ |title=Appropriate contrast media for evaluation of esophageal disruption |journal=Radiology |volume=144 |issue=2 |pages=439–41 |year=1982 |pmid=7089304 |doi=10.1148/radiology.144.2.7089304 |url=}}</ref> | ||
* Barium esophagram can detect 60% of cervical perforations and 90% of intrathoracic perforations.<ref name="pmid27307852">{{cite journal |vauthors=Nguyen VX, Nguyen CC, Nguyen BD |title=Multimodality imaging of esophageal perforation by a wire bristle |journal=Radiol Case Rep |volume=5 |issue=1 |pages=364 |year=2010 |pmid=27307852 |pmc=4898214 |doi=10.2484/rcr.v5i1.364 |url=}}</ref> | |||
* Barium esophagram can detect 60% of cervical perforations and 90% of intrathoracic perforations. | |||
* Endoscopy can identify the location of the esophageal defect and confirm the extra-luminal disease or to rule out the diagnosis.<ref name="pmid20226056">{{cite journal |vauthors=Malik UF, Young R, Pham HD, McCon A, Shen B, Landres R, Mahmoud A |title=Chronic presentation of Boerhaave's syndrome |journal=BMC Gastroenterol |volume=10 |issue= |pages=29 |year=2010 |pmid=20226056 |pmc=2847967 |doi=10.1186/1471-230X-10-29 |url=}}</ref> | * Endoscopy can identify the location of the esophageal defect and confirm the extra-luminal disease or to rule out the diagnosis.<ref name="pmid20226056">{{cite journal |vauthors=Malik UF, Young R, Pham HD, McCon A, Shen B, Landres R, Mahmoud A |title=Chronic presentation of Boerhaave's syndrome |journal=BMC Gastroenterol |volume=10 |issue= |pages=29 |year=2010 |pmid=20226056 |pmc=2847967 |doi=10.1186/1471-230X-10-29 |url=}}</ref> | ||
Revision as of 15:32, 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]
Overview
The diagnosis of esophageal perforationshould be confirmed by water-soluble contrast esophagram (Gastrograffin), which reveals the location and extent of extravasation of contrast material. If the water-soluble study is negative, a barium study should be performed for better definition.
Other Imaging Findings
- The diagnosis of esophageal perforation should be confirmed by water-soluble contrast esophagram (Gastrograffin), which reveals the location and extent of extravasation of contrast material. If the water-soluble study is negative, a barium study should be performed for better definition.[1][2]
- Barium esophagram can detect 60% of cervical perforations and 90% of intrathoracic perforations.[3]
- Endoscopy can identify the location of the esophageal defect and confirm the extra-luminal disease or to rule out the diagnosis.[4]
References
- ↑ Bladergroen MR, Lowe JE, Postlethwait RW (1986). "Diagnosis and recommended management of esophageal perforation and rupture". Ann. Thorac. Surg. 42 (3): 235–9. PMID 3753071.
- ↑ Dodds WJ, Stewart ET, Vlymen WJ (1982). "Appropriate contrast media for evaluation of esophageal disruption". Radiology. 144 (2): 439–41. doi:10.1148/radiology.144.2.7089304. PMID 7089304.
- ↑ Nguyen VX, Nguyen CC, Nguyen BD (2010). "Multimodality imaging of esophageal perforation by a wire bristle". Radiol Case Rep. 5 (1): 364. doi:10.2484/rcr.v5i1.364. PMC 4898214. PMID 27307852.
- ↑ 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.