Özdogan Musa, Gottlieb Hans
Ugeskr Laeger. 2015 Sep 7;177(37):V12140759.
Hydropneumothorax following oesophageal rupture is very rare and often lethal. We report case of a 78-year-old man with known Barret's oesophagus with increasing shortness of breath and right chest pain followed by increasing emesis. Further investigations showed a right side hydropneumothorax and pleural effusion. Thorax and abdominal CT showed middle oesophageal perforation and pneumomediastinum. Oesophageal perforation can lead to pneumothorax and pleural fluid. Early diagnosis is pivotal to reduce mortality.
食管破裂后并发血气胸非常罕见，且往往致命。我们报告一例78岁男性病例，该患者已知患有巴雷特食管，出现呼吸急促加重、右胸痛，随后呕吐加剧。进一步检查显示右侧血气胸和胸腔积液。胸部和腹部CT显示食管中段穿孔和纵隔气肿。食管穿孔可导致气胸和胸腔积液。早期诊断对于降低死亡率至关重要。
