Journal of Emergencies, Trauma, and Shock
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IMAGES IN MEDICINE
Year : 2013  |  Volume : 6  |  Issue : 1  |  Page : 58-60

Spontaneous esophageal perforation (Boerhaave syndrome): Diagnosis with CT-esophagography


Department of Radiology, "Luigi Sacco" University Hospital, Via G.B. Grassi 74, 20157 Milan, Italy

Correspondence Address:
Massimo Tonolini
Department of Radiology, "Luigi Sacco" University Hospital, Via G.B. Grassi 74, 20157 Milan
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.106329

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Spontaneous esophageal perforation (Boerhaave syndrome) is a very uncommon, life-threatening surgical emergency that should be suspected in all patients presenting with lower thoracic-epigastric pain and a combination of gastrointestinal and respiratory symptoms. Variable clinical manifestations and subtle or unspecific radiographic findings often result in critical diagnostic delays. Multidetector computed tomography complemented with CT-esophagography represents the ideal "one-stop shop" investigation technique to allow a rapid, comprehensive diagnosis of BS, including identification of suggestive periesophageal abnormalities, direct visualization of esophageal perforation and quantification of mediastinitis.


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