An Unusual Cause of Left-sided Severe Chest Pain
2011
An Unusual Cause of Left-sided Severe Chest Pain
publication
Author Information
Author(s): Yagnik Vipul D., Yagnik Bhargav D.
Primary Institution: Ronak Endo-Laparoscopy and General Surgical Hospital
Conclusion
The patient was diagnosed with Boerhaave syndrome, indicated by a leak of contrast into the pleural cavity.
Supporting Evidence
- The Gastrograffin study revealed a leak of contrast into the pleural cavity.
- A classical presentation of Boerhaave syndrome includes vomiting, subcutaneous emphysema, and lower thoracic pain.
- Pleural fluid characteristics include a pH of <6, undigested food particles, and high amylase content.
Takeaway
A woman had severe chest pain after vomiting, and doctors found a tear in her esophagus, which is a serious condition.
Methodology
A Gastrograffin study was performed to diagnose the condition.
Participant Demographics
50-year-old lady
Digital Object Identifier (DOI)
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