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.8 The V-sign of Naclerio may be seen on chest radiograph as radiolucent streaks of air seen in the retrocardiac region in the shape of the letter V. However, the most common finding is a one-sided pleural effusion or hydropneumothorax, other features such as pneumomediastinum or surgical emphysema may also be seen.[1]
Very useful initial diagnostic test and is abnormal in most patients with perforation which shows:[2]
- Unilateral 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.