Diagnostic considerations in mediastinal emphysema: a pathophysiologic-roentgenologic approach to Boerhaave's syndrome and spontaneous pneumomediastinum
Autor: | Puig Aw, Dooley Bn, Cuello L, Rogers Lf |
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Rok vydání: | 1972 |
Předmět: |
Adult
Male medicine.medical_specialty Peptic Ulcer Adolescent Spontaneous Perforation Contrast Media Esophageal Diseases Diagnosis Differential Esophagus Cadaver Medicine Humans Radiology Nuclear Medicine and imaging Mediastinal Emphysema Aged S syndrome Rupture Spontaneous business.industry General Medicine Syndrome Middle Aged Pathophysiology Surgery Pleural Effusion Contrast medium medicine.anatomical_structure Spontaneous pneumomediastinum Defecation Female Radiography Thoracic business |
Zdroj: | The American journal of roentgenology, radium therapy, and nuclear medicine. 115(3) |
ISSN: | 0002-9580 |
Popis: | Spontaneous perforation of the esophagus and spontaneous pneumomediastinum are 2 infrequent causes of mediastinal emphysema. These 2 share many precursors: coughing, emesis, childbirth, defecation, status asthmaticus, convulsive seizures, and weight-lifting. They are at times difficult to distinguish on clinical grounds. A distinction can be made with confidence on chest roentgenograms and confirmed by a contrast medium swallow examination.Nine cases of Boerhaave’s syndrome and 4 cases of spontaneous pneumomediastinum are reviewed; the similarities and differences between the 2 emphasized; and studies on anatomic specimens are utilized to explain their pathophysiology. These studies are correlated with the roentgenographic findings. |
Databáze: | OpenAIRE |
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