Author/Editor     Sjekavica, Ivica; Pavliša, Goran; Šeronja-Kuhar, Marina; Moscatello, Ines; Štern-Padovan, Ranka
Title     Boerhaave's syndrome: a case with an atypical right-sided oesophageal perforation
Translated title     Boerhaavejev sindrom: primer neznačilnega predrtja požiralnikove desne stene
Type     članek
Source     Radiol Oncol
Vol. and No.     Letnik 38, št. 1
Publication year     2004
Volume     str. 1-4
Language     eng
Abstract     Background. Boerhaave's syndrome is a complete transmural perforation of the thoracic oesophagus, with the oesophageal tear occurring on the left posterolateral side in 90% of the patients. Case report. We present a case of Boerhaave's syndrome with an atypical feature of right-sided oesophageal rupture. Chest CT has the advantage of imaging all thoracic structures and complications and excluding differentially diagnostic conditions in the case of a high clinical suspicion of oesophageal rupture. Conclusions. CT is especially important in patients whose severe clinical condition does not permit esophagography.
Summary     Izhodišča. Boerhaavejev sindrom imenujemo popolno predrtje požiralnikove stene v predelu prsnega koša. V 90% se pojavi raztrganina na levi posterolateralni strani požiralnika. Prikaz primera. Prikazujemo primer Boerhaavejevega sindroma z neznačilno raztrganino desnega dela požiralnikove stene. Zaključki. CT prsnega koša je prednostna preiskava, saj ob prikazu struktur v prsnem košu lahko vidimo tudi morebitne komplikacije obolenja in CT pomaga pri diferencialni diagnozi, kadar sumimo, da ima bolnik predrt požiralnik. Posebno pomembna pa je CT preiskava, kadar je bolnikovo stanje tako resno, da ne dovoljuje esofagografije.
Descriptors     ESOPHAGEAL DISEASES
RUPTURE, SPONTANEOUS
TOMOGRAPHY, X-RAY COMPUTED
MIDDLE AGE