title: [Acute thoracic pain].
abstract: We report the case of a 56 year-old female patient without previous medical history presenting in the emergency room with acute left-sided thoracic pain and dyspnea. Initial lab exams, ECG and chest X-ray in supine position were normal and excluded most common pathologies, e.g. a large pneumothorax or myocardial infarction. A subsequent computed tomography to exclude an aortic dissection or pulmonary embolism showed left-sided sero-pneumothorax and mediastinal air. A spontaneous esophageal rupture (Boerhaave Syndrome) was diagnosed. An additional fluoroscopic study was performed to evaluate the exact site of rupture.
authors.affiliation: Institut für Radiologie, Kantonsspital Baden.
authors.forename: D
authors.initials: D
authors.lastname: Matt
authors.forename: R A
authors.initials: RA
authors.lastname: Kubik-Huch
authors.forename: G
authors.initials: G
authors.lastname: Teufelberger
authors.forename: P R
authors.initials: PR
authors.lastname: Knüsel
mesh_terms: D000208:Acute Disease; D002637:Chest Pain / Q000000981:diagnostic imaging / Q000209:etiology*; D003287:Contrast Media; D003937:Diagnosis, Differential; D003974:Diatrizoate Meglumine; D004417:Dyspnea / Q000000981:diagnostic imaging / Q000209:etiology; D004935:Esophageal Diseases / Q000000981:diagnostic imaging*; D004937:Esophageal Fistula / Q000000981:diagnostic imaging; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008875:Middle Aged; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging; D013577:Syndrome; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media; D003974:Diatrizoate Meglumine