Boerhaave's syndrome – tension hydropneumothorax and rapidly developing hydropneumothorax: two radiographic clues in one case
| Autor: | Lam Nguyen Ho, Ngoc Tran Van, Thuong Vu Le |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Pleural effusion medicine.medical_treatment Radiography Case Report Case Reports 03 medical and health sciences 0302 clinical medicine pleural effusion medicine hydropneumothorax S syndrome Hydropneumothorax business.industry High mortality tension pneumothorax 030208 emergency & critical care medicine Boerhaave's syndrome medicine.disease Surgery Chest tube 030228 respiratory system Pleural fluid methylene blue Presentation (obstetrics) business |
| Zdroj: | Respirology Case Reports |
| ISSN: | 2051-3380 |
| DOI: | 10.1002/rcr2.160 |
| Popis: | Boerhaave's syndrome is a rare and severe condition with high mortality partly because of its atypical presentation resulting in delayed diagnosis and management. Diagnostic clues play an important role in the approach to this syndrome. Here, we report a 48 year‐old male patient hospitalized with fever and left chest pain radiating into the interscapular area. Two chest radiographs undertaken 22 h apart showed a rapidly developing tension hydropneumothorax. The amylase level in the pleural fluid was high. The fluid in the chest tube turned bluish after the patient drank methylene blue. The diagnosis of Boerhaave's syndrome was suspected based on the aforementioned clinical clues and confirmed at the operation. The patient recovered completely with the use of antibiotics and surgical treatment. In this case, we describe key findings on chest radiographs that are useful in diagnosing Boerhaave's syndrome. |
| Databáze: | OpenAIRE |
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