1988
DOI: 10.1001/archinte.148.1.223
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Boerhaave's syndrome. Computed tomographic findings and diagnostic considerations

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Cited by 14 publications
(4 citation statements)
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“…49,62,65,70 As this type of examination can miss 10±20% of lesions, 65 it can be combined with computed tomography. 71 Similarly, esophageal ®beroptic endoscopy (without insuf¯ation) can be used to diagnose esophageal perforation and to rule out the presence of a radiotransparent foreign body. 13,50,65 Given the high risk of mediastinitis, esophageal perforation calls for close monitoring of all patients suspected of having an esophageal perforation is required.…”
Section: Differential Diagnosismentioning
confidence: 99%
“…49,62,65,70 As this type of examination can miss 10±20% of lesions, 65 it can be combined with computed tomography. 71 Similarly, esophageal ®beroptic endoscopy (without insuf¯ation) can be used to diagnose esophageal perforation and to rule out the presence of a radiotransparent foreign body. 13,50,65 Given the high risk of mediastinitis, esophageal perforation calls for close monitoring of all patients suspected of having an esophageal perforation is required.…”
Section: Differential Diagnosismentioning
confidence: 99%
“…The clinical findings include shock, abdominal tenderness or rigidity, respiratory distress and pleural effusion or pneumothorax. Hamman's sign (a crunching sound over the anterior chest with cardiac systole) is characteristic but present in only 20% of patients 11 . The classic triad of vomiting, chest pain and subcutaneous emphysema is rare and only one third of cases are diagnosed initially 12 .…”
Section: Discussionmentioning
confidence: 99%
“…Atypical chest pain (Ward, 1986) due to spontaneous perforation of the oesophagus has been misdiagnosed as myocardial infarction and acute thoracic aortic dissection (Jaworski et al, 1988). Presentation with haematemesis is recorded as is the incorrect diagnosis of peptic ulceration, and other acute abdominal conditions (Konagaya et al, 1988;Singh and Slovis, 1988).…”
Section: Discussionmentioning
confidence: 99%