Boerhaave's Syndrome
| Autor: | K. Nieboer, G. Verfaillie, Herbert D. Spapen, J. De Regt, Patrick M. Honore, J. Spapen |
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| Přispěvatelé: | Faculty of Medicine and Pharmacy, Internal Medicine, Intensive Care, Medical Imaging, Medical Imaging and Physical Sciences, Radiology, UZB Other, Critical Care, Internal Medicine Specializations |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
S syndrome Article Subject business.industry Therapeutic algorithm lcsh:Medical emergencies. Critical care. Intensive care. First aid Case Report lcsh:RC86-88.9 Critical Care and Intensive Care Medicine Chest pain medicine.disease Surgery Sepsis Vomiting Medicine medicine.symptom Presentation (obstetrics) business Intensive care medicine Subcutaneous emphysema |
| Zdroj: | Case Reports in Critical Care, Vol 2013 (2013) Case Reports in Critical Care |
| Popis: | Boerhaave's syndrome is a rare but potentially fatal condition characterised by a transmural tear of the distal oesophagus induced by a sudden increase in pressure. Diagnosis is challenging as the classic triad of vomiting, abdominal or chest pain, and subcutaneous emphysema is absent in many patients. Management is multidisciplinary and relies on rapid, distinct, and repeated imaging. Treatment has not been standardised and may be conservative, endoscopic, or surgical. We present a typical case which illustrates possible diagnostic pitfalls and the therapeutic conundrum surrounding management of the syndrome. Based on time of presentation and eventual presence of sepsis, a therapeutic algorithm is proposed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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