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Presentation of Boerhaave's syndrome as an upper-esophageal perforation associated with a right-sided pleural effusion:A case report

引用

World Journal of Clinical Cases 2022年第18期10卷 6192-6197页

作者： Ni Tan Yin-Hua Luo Guang-Cai Li Yi-Lin Chen Wei Tan Yue-Hua Xiang Liang Ge Di Yao Ming-Hua Zhang Pulmonary and Critical Care Medicine Central Hospital of Tujia and Miao Autonomous PrefectureHubei University of MedicineEnshi Autonomous Prefecture 445000Hubei ProvinceChina Cardiovascular Disease Center Central Hospital of Tujia and Miao Autonomous PrefectureHubei University of MedicineEnshi Autonomous Prefecture 445000Hubei ProvinceChina

BACKGROUND Spontaneous esophageal rupture or Boerhaave’s syndrome is a rare and acute disease with a high incidence of misdiagnosis and ***,we aimed to explore the clinical characteristics,diagnosis,treatment,and prognosis of spontaneous esophageal rupture,and to analyze the causes of misdiagnosis during the treatment of spontaneous esophageal *** SUMMARY The clinical features of the patient with spontaneous esophageal rupture misdiagnosed earlier as pleural effusion were retrospectively analyzed and the reasons for misdiagnosis are discussed based on a current review of the *** patient was admitted to a local hospital due to shortness of breath accompanied by vomiting and abdominal distension for five *** on the computed tomography(CT)scan analysis,clinically,right pleural effusion was ***,the patient was unwilling to undergo right closed thoracic *** patient also had intermittent fevers against infection,and during the course of treatment,he complained of chest pain,following which,he was transferred to our ***-like residue drainage fluid was ***-examination of the chest CT scans suggested the presence of spontaneous perforation in the upper left ***,the patient underwent an urgent esophageal hiatus ***,the patient died of infection and respiratory failure due to progressive dyspnea after *** Spontaneous esophageal rupture is a rare disease associated with high *** patients do not present typical clinical symptoms and the disease progresses *** case report highlights the importance of a dynamic review of chest CT scan,not only for the initial identification of segmental injury but also for prioritizing subsequent treatment ***,we have presented some clues for clinicians to recognize and diagnose spontaneous esophageal rupture at rare sites(upper-esophageal segment)through this case report of spontan

关键词： Spontaneous esophageal rupture Chest computed tomography upper-esophageal perforation Right-sided pleural effusion Misdiagnosis Case report

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