| Migration of the chest tube into the esophagus in a case of Boerhaave's syndrome. | |
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MedLine Citation:
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PMID: 20888643 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Boerhaave's syndrome is the spontaneous transmural rupture of the esophagus. Patients can have a variety of manifestations. Boerhaave's syndrome has to be considered in acutely ill patients with no other explanations for their illness. Computed tomography scan of the chest is emerging as a useful tool for the evaluation of these patients. Surgical repair is the standard of care. Adequate drainage of the pleural fluid is necessary to prevent pulmonary complications. Esophageal perforation should be considered whenever thoracostomy tube drainage assumes an enteric character. When inserting the chest tube for draining pleural fluid, the trochar should not be used because of potential injury to the already perforated esophagus. Posterior placement of the chest tube should be avoided because the tube may migrate into the perforated esophagus. Because of the high incidence of mortality, prompt suspicion, diagnosis, and management are warranted. A careful history, detailed review of the imaging, and a high index of suspicion are key for prompt diagnosis. |
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Authors:
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Umashankar Lakshmanadoss; Sujatha Mogili; Tarun Kothari; Vijay Das |
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Publication Detail:
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Type: Journal Article Date: 2010-10-02 |
Journal Detail:
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Title: Heart & lung : the journal of critical care Volume: 40 ISSN: 1527-3288 ISO Abbreviation: Heart Lung Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-10-17 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0330057 Medline TA: Heart Lung Country: United States |
Other Details:
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Languages: eng Pagination: 576-9 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Hospital Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University, Baltimore, Maryland. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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