Boerhaave syndrome chest x ray
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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
Very useful initial diagnostic test and is abnormal in most patients with perforation which shows: unilateral effusion usually on the left, pneumothorax, hydropneumothorax, pneumomediastinum, mediastinal widening.
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 retrocardiac region in the V shape.[1]
In most patients with Boerhaave syndrome chest x-ray shows:[2]
- One-sided effusion (usually on the left)
- Pneumothorax
- Hydropneumothorax
- Pneumomediastinum
- Subcutaneous emphysema
- Mediastinal widening
References
- ↑ 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.