EURORAD ESR

Case 8911

A case of Boerhaave's syndrome- spontaneous oesophageal perforation

Author(s)
Dr Peter S. Blair
 
Patient
female, 69 year(s)
 
 
  • Figure 1
    Chest radiograph

    Chest radiograph showing surgical emphysema, pneumomediastinum and pneumopericardium.

     
    Area of Interest: Mediastinum; Oesophagus; Thorax; Imaging Technique: Digital radiography; PACS; Plain radiographic studies; Procedure: Complications; Decision analysis; Diagnostic procedure;
     
     
  • Figure 2
    Contrast enhanced chest CT
     

    Axial CT image on soft tissue window showing right dense hydropneumothorax with contrast extravasation into pleural space, pneumopericardium and pneumomediastinum.

     
    Area of Interest: Gastrointestinal tract; Oesophagus; Thorax; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Contrast agent-oral; Special Focus: Pathology;

    Axial CT image on lung window showing right dense hydropneumothorax with contrast extravasation into pleural space, pneumopericardium and pneumomediastinum.

     
    Area of Interest: Gastrointestinal tract; Oesophagus; Thorax; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Contrast agent-oral; Special Focus: Pathology;

    Axial CT image on soft tissue window showing right dense hydropneumothorax with contrast extravasation into pleural space, pneumopericardium and pneumomediastinum.

     
    Area of Interest: Gastrointestinal tract; Oesophagus; Thorax; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Contrast agent-oral; Special Focus: Pathology;

    Extensive surgical emphysema tracking through the soft tissues of the neck.

     
    Area of Interest: Head and neck; Soft tissues / Skin; Imaging Technique: CT; Procedure: Complications; Special Focus: Pathology;

    Extensive surgical emphysema tracking through the soft tissues of the neck and thorax.

     
    Area of Interest: Head and neck; Thoracic wall; Imaging Technique: CT; Procedure: Complications; Special Focus: Pathology;

    Sagittal CT MPR reconstruction of chest showing hydropneumothorax and extensive surgical emphysema.

     
    Area of Interest: Head and neck; Lung; Thorax; Imaging Technique: CT; Procedure: Computer Applications-3D; Computer Applications-General; Contrast agent-oral; Special Focus: Pathology;

    Sagittal CT MPR reconstruction of chest showing extensive pneumomediastinum surrounding the oesophagus, pneumopericardium and pneumothorax.

     
    Area of Interest: Lung; Mediastinum; Thorax; Imaging Technique: CT; Procedure: Complications; Computer Applications-3D; Computer Applications-General; Special Focus: Pathology;

    Coronal CT MPR reconstruction of chest showing hydropneumothorax, extensive surgical emphysema, pneumopericardium and pneumomediastinum.

     
    Area of Interest: Lung; Mediastinum; Thorax; Imaging Technique: CT; Procedure: Complications; Computer Applications-3D; Computer Applications-General; Special Focus: Pathology;

    Coronal CT MPR reconstruction of chest showing hydropneumothorax, extensive surgical emphysema, pneumopericardium and pneumomediastinum.

     
    Area of Interest: Lung; Mediastinum; Thorax; Imaging Technique: CT; Procedure: Complications; Computer Applications-3D; Computer Applications-General; Special Focus: Pathology;

    Axial CT image showing free contrast exiting the distal third of oesophagus at the site of perforation.

     
    Area of Interest: Contrast agents; Mediastinum; Oesophagus; Imaging Technique: CT; Procedure: Complications; Computer Applications-3D; Computer Applications-General; Special Focus: Pathology;
     
     
  • Figure 3
    Digital radiography

    Postoperative chest radiograph showing right thoracotomy clips, right internal jugular venous line, nasogastric tube, ET tube and three chest drains in place.

     
    Area of Interest: Anatomy; Lung; Management; Imaging Technique: Digital radiography; PACS; Plain radiographic studies; Procedure: Complications; Drainage;
     
     
Chest radiograph showing surgical emphysema, pneumomediastinum and pneumopericardium.
 
Axial CT image on soft tissue window showing right dense hydropneumothorax with contrast extravasation into pleural space, pneumopericardium and pneumomediastinum.
 
Axial CT image on lung window showing right dense hydropneumothorax with contrast extravasation into pleural space, pneumopericardium and pneumomediastinum.
 
Axial CT image on soft tissue window showing right dense hydropneumothorax with contrast extravasation into pleural space, pneumopericardium and pneumomediastinum.
 
Extensive surgical emphysema tracking through the soft tissues of the neck.
 
Extensive surgical emphysema tracking through the soft tissues of the neck and thorax.
 
Sagittal CT MPR reconstruction of chest showing hydropneumothorax and extensive surgical emphysema.
 
Sagittal CT MPR reconstruction of chest showing extensive pneumomediastinum surrounding the oesophagus, pneumopericardium and pneumothorax.
 
Coronal CT MPR reconstruction of chest showing hydropneumothorax, extensive surgical emphysema, pneumopericardium and pneumomediastinum.
 
Coronal CT MPR reconstruction of chest showing hydropneumothorax, extensive surgical emphysema, pneumopericardium and pneumomediastinum.
 
Axial CT image showing free contrast exiting the distal third of oesophagus at the site of perforation.
 
Postoperative chest radiograph showing right thoracotomy clips, right internal jugular venous line, nasogastric tube, ET tube and three chest drains in place.
 
 
 
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