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
Rok vydání: 1972
Předmět:
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