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 |