Mackler's Triad in Boerhave Syndrom: Exceptional Case Report
| Autor: | T. Adioui, S. Rokhsi, F. Nejjari, S. Berrag, M. Tamzaourte |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Scholars Journal of Medical Case Reports. 10:1263-1265 |
| ISSN: | 2347-6559 2347-9507 |
| DOI: | 10.36347/sjmcr.2022.v10i12.031 |
| Popis: | Boerhaave syndrome is a rare entity, difficult to diagnose, with a potentially fatal outcome if not managed rapidly. We report the case of a female patient diagnosed throughout the triad of Meckler and confirmed with CT Scan using a water-soluble contrast product such as gastrografin showing pneumo-mediastinum with important subcutaneous emphysema. Clinically the patient was stable ruling out surgery but requiring a broad-spectrum intravenous antibiotic therapy with monitoring. The evolution was reassuring after a 15 day follow up. The barogenic nature of the rupture probably explains the wide mediastinal contamination, rapidly responsible for severe respiratory distress, sepsis and shock. A careful history and a detailed imaging examination allow a rapid diagnosis and therefore more caution treating the patient. |
| Databáze: | OpenAIRE |
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