대한흉부영상의학회 Korean Society of Thoracic Radiology

Discussion

Diagnosis With Brief Discussion

Chief Complaint

hematemesis (onset: 30 minutes ago)

Definitive Diagnosis

Boerhavve syndrome

Reviewy

Spontaneous transmural perforation
Forceful ejection of gastric contents
Distal left posterior wall (m/c)

Imaging finding
Pneumomediastinum and left pleural effusion
Direct contrast leakage/tracks and esophageal wall thickening.
Periaortic air tracks, pneumothorax, mediastinal fluid collections
Gas extending into spinal epidural, peritoneal and retroperitoneal spaces

Keywords