Mediastinal emphysema in the context of perforated gastric ulcer

作     者：Debkumar Chowdhury 

作者机构：Department of Emergency MedicineWythenshawe HospitalManchester M239LTUnited Kingdom 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2024年第12卷第15期

页      面：2479-2481页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Pneumomediastinum Duodenal ulcer Computed tomography Visceral perforation Diagnostic imaging Emergency care 

摘      要：In the context of mediastinal emphysema/pneumomediastinum,the main aetiologies are associated with oesophageal perforation,lung pathology or post head and neck surgery *** main way to differentiate the pathologies would be through Computed Tomographic Imaging of the Thorax and abdomen with oral and intravenous contrast in the context of triple phase *** causes of pneumomediastinum should be differentiated between traumatic and *** perforation(Boerhaave syndrome)is associated with Mackler’s triad in upto 50%of patients(severe retrosternal chest pain,pneumomediastinum,mediastinitis).Whereas in cases of lung pathology this can be associated with pneumothorax and pleural effusion.