'Diagnosis of Boerhaave's Syndrome With Aid of Bedside Ultrasound

Felipe, Naillid; King, Samantha A.; Salerno, Alexis

doi:10.1016/j.jemermed.2021.05.017

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…POCUS is a method of rapid evaluation of pneumomediastinum with minimal radiation exposure and helps lead to early diagnosis of certain aspects of the syndrome, such as mediastinal or free peritoneal air or subcutaneous emphysema. In 1983, the sonographic evaluation of pneumomediastinum was reported and mentioned the “air gap sign”, which is described as accumulating air obscuring normal cardiac structures [ 10 , 11 ]. Sonographic findings in pneumomediastinum include (1) visualized free air in the soft tissue of the neck demonstrating hyperechoic foci with ring-down artifacts; (2) the air gap sign demonstrating air within the mediastinum or pericardium that obscures normal cardiac structures.…”

Section: Discussionmentioning

confidence: 99%

Point-of-Care Ultrasonography Helped to Rapidly Detect Pneumomediastinum in a Vomiting Female

et al. 2023

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Vomiting-induced pneumomediastinum is a rare presentation and can be a result of alveolar rupture (Mackler effect) or Boerhaave syndrome. Patients diagnosed with Boerhaave syndrome may present with the classic Mackler triad of vomiting, chest pain, and subcutaneous emphysema. However, there exists a large overlap of symptoms accompanying Boerhaave syndrome and the Macklin effect, including retrosternal chest pain, neck discomfort, cough, sore throat, dysphagia, dysphonia, and dyspnea. Boerhaave syndrome is a dangerous condition. Delayed diagnosis of Boerhaave syndrome may worsen sepsis and cause mortality. Therefore, early diagnosis and timely management are important to prevent further complications. Here, we present a case of vomiting-induced pneumomediastinum, which supports the use of bedside ultrasonography to aid in the diagnosis and rapid differentiation of etiology of pneumomediastinum.

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Section: Discussionmentioning

confidence: 99%