A 62 years oled male presented with severe chest pain and hypotension after vomiting.
Ct shows bilateral pleural effusion and pneumomediastinum to the aorta and to the right of the oesophagus. Subsequent CT with oral contrast shows dense contrast in the oesophagus (arrow) and leakage into the irregular complex right mediastinal collection.
The diagnosis is Boerhaave syndrome.
Spontaneous rupture of the oesophagus during vomiting.
May follow alcohol ingestion or lage meal.
Rupture typically located at the left subdiaphragmatic portion of the oesophagus.
Classical presentation: Mackler traid:
-Vomiting
-Severe chest pain
-Subcutaneous emphysema
I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
ReplyDeleteliver already present. I started on antiviral medications which
reduced the viral load initially. After a couple of years the virus
became resistant. I started on HEPATITIS B Herbal treatment from
ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
treatment totally reversed the virus. I did another blood test after
the 6 months long treatment and tested negative to the virus. Amazing
treatment! This treatment is a breakthrough for all HBV carriers.