Boerhaave syndrome other imaging findings
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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
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.
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.