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气泡与食管:一个关于意外且原因不明疼痛的故事

'Bubbles and esophagus: A tale of unexpected and otherwise unexplained pain'.

作者信息

Bhojani Fatima, Shafqat Gulnaz, Zafar Uffan, Khan Anam

机构信息

Department of Radiology, Aga Khan University, Karachi, Pakistan.

出版信息

Radiol Case Rep. 2024 Mar 1;19(5):2043-2047. doi: 10.1016/j.radcr.2024.02.028. eCollection 2024 May.

DOI:10.1016/j.radcr.2024.02.028
PMID:38444597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10914552/
Abstract

Boerhaave's syndrome is a potentially fatal emergency, typically induced by forceful retching, which leads to increased intra-esophageal pressure. It commonly presents with vague symptoms such as chest pain or more classic symptoms like subcutaneous emphysema and vomiting. We present an unusual case of Boerhaave syndrome secondary to rapid and excessive intake of carbonated drinks in a 22-year-old male, who presented to our emergency department with atypical symptoms of fever and shortness of breath. Imaging studies showed left-sided hydropneumothorax with an esophageal pleural fistula, and multidisciplinary teams were involved in the patient's management.

摘要

博雷尔哈夫综合征是一种潜在致命的急症,通常由剧烈干呕诱发,导致食管内压力升高。其常见症状模糊,如胸痛,或有更典型的症状,如皮下气肿和呕吐。我们报告一例不寻常的博雷尔哈夫综合征病例,该病例发生在一名22岁男性身上,病因是快速过量饮用碳酸饮料。该患者因发热和呼吸急促等非典型症状前来我院急诊科就诊。影像学检查显示左侧液气胸伴食管胸膜瘘,多学科团队参与了该患者的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d760/10914552/3e50dd4e203e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d760/10914552/c110b835283b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d760/10914552/9d7eca5f722b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d760/10914552/10c0c3be315c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d760/10914552/cdf4818b8e04/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d760/10914552/3e50dd4e203e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d760/10914552/c110b835283b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d760/10914552/9d7eca5f722b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d760/10914552/10c0c3be315c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d760/10914552/cdf4818b8e04/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d760/10914552/3e50dd4e203e/gr5.jpg

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1
'Bubbles and esophagus: A tale of unexpected and otherwise unexplained pain'.气泡与食管:一个关于意外且原因不明疼痛的故事
Radiol Case Rep. 2024 Mar 1;19(5):2043-2047. doi: 10.1016/j.radcr.2024.02.028. eCollection 2024 May.
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本文引用的文献

1
Boerhaave's Syndrome: An Unusual Geriatric Presentation.博雷尔哈夫综合征:一种不寻常的老年表现。
Cureus. 2023 Sep 29;15(9):e46212. doi: 10.7759/cureus.46212. eCollection 2023 Sep.
2
CT Esophagography for Evaluation of Esophageal Perforation.用于评估食管穿孔的CT食管造影术
Radiographics. 2021 Mar-Apr;41(2):447-461. doi: 10.1148/rg.2021200132. Epub 2021 Feb 12.
3
Boerhaave syndrome due to excessive alcohol consumption: two case reports.过量饮酒所致的博雷尔哈夫综合征:两例病例报告。
Int J Emerg Med. 2020 Nov 30;13(1):56. doi: 10.1186/s12245-020-00318-5.
4
Suspecting a fatal condition on a plain chest radiograph; Boerhaave syndrome.平片胸片提示致命性疾病;Boerhaave 综合征。
Scott Med J. 2021 Feb;66(1):46-48. doi: 10.1177/0036933020961181. Epub 2020 Sep 27.
5
Diagnostic Utility of CT and Fluoroscopic Esophagography for Suspected Esophageal Perforation in the Emergency Department.急诊中 CT 和透视食管造影对疑似食管穿孔的诊断价值。
AJR Am J Roentgenol. 2020 Sep;215(3):631-638. doi: 10.2214/AJR.19.22166. Epub 2020 Jun 9.
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Spontaneous Esophageal Rupture or Boerhaave's Syndrome.自发性食管破裂或博赫哈夫综合征
J Belg Soc Radiol. 2020 Jan 15;104(1):1. doi: 10.5334/jbsr.1882.
7
Boerhaave's syndrome: A case report of damage control approach.博雷尔哈夫综合征:损伤控制方法的病例报告。
Int J Surg Case Rep. 2019;58:104-107. doi: 10.1016/j.ijscr.2019.04.030. Epub 2019 Apr 19.
8
Boerhaave's Syndrome: Still a Diagnostic and Therapeutic Challenge in the 21st Century.博雷尔氏综合征:在21世纪仍是诊断和治疗的挑战。
Case Rep Crit Care. 2013;2013:161286. doi: 10.1155/2013/161286. Epub 2013 Jun 9.
9
Boerhaave's syndrome: diagnosis and successful primary repair one month after the oesophageal perforation.博赫哈夫综合征:食管穿孔一个月后的诊断及成功的一期修复
Ghana Med J. 2013 Mar;47(1):53-5.
10
Not just another sore throat.不仅仅是又一次喉咙痛。
Aust Fam Physician. 2011 Aug;40(8):605-6.