[Roentgen findings in spontaneous esophageal perforation (Boerhaave syndrome)].
Having experienced two cases of Boerhaave's syndrome (spontaneous rupture of the oesophagus), one a 42-year-old man, the other a 76-year-old woman, who both died of complications failing operative repair, the authors undertook a survey of the literature in order to evaluate the role of radiology in the detection of this life-threatening condition. An analysis of 118 clinically and 67 radiologically well-documented cases yielded pathologic findings in chest X-rays in 90% of the cases. Hydropneumothorax was found in 51%, pneumomediastinum in 30%, isolated pleural effusion in 25%, and infiltration of the parenchyma in 14% of the patients. In all cases it was possible to demonstrate by contrast medium-filling of the oesophagus with an aqueous medium.
Hegenbarth
R
R
Röntgenabteilung, Hospital zum heiligen Geist, Frankfurt/M.
Birkenfeld
P
P
Beyer
R
R
D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D004935:Esophageal Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D004947:Esophagus / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008297:Male; D008478:Mediastinal Emphysema / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D011859:Radiography; D012422:Rupture, Spontaneous; D013577:Syndrome
Röntgenbefunde bei spontaner Osophagusperforation (Boerhaave-Syndrom).