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
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