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A 59-year-old female with a background of hiatal hernia presented with a sudden onset of breathlessness and epigastric pain. On examination, there was evidence of intense pain on epigastric palpation.She was haemodynamically stable at presentation, with oxygen saturations of 95% breathing room air, but during the next hours she showed a continuous decrease of the haematocrit and respiratory difficulties.A chest radiograph (Figure 1) was obtained at presentation, and a thoracic computed tomography (CT) scan (Figure 2) was also obtained. Figure 1. Chest radiograph What is the diagnosis? Figure 2. Images from a CT scan Answer and Discussion

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Victoria Mayoral Campos; Claudia Bonnet Carr 00f3n; Beatriz Carro Alonso; Blanca Madariaga Ruiz; Jos 00e9 Mar 00eda Sainz Mart 00ednez; Department of Radiology, Hospital Cl 00ednico Universitario Lozano Blesa, Zaragoza, Spain

Acknowledgements

Correspondence

Dra. Victoria Mayoral Campos, Department of Radiology, Hospital Cl 00ednico Universitario Lozano Blesa, Avenida San Juan Bosco 15, 50009, Zaragoza, Spain.

Correspondence Email

vickymayoral@gmail.com

Competing Interests

Salvador Baudet J, Arencibia A, Soler M, et al. Spontaneous esophageal rupture (Boerhaave's syndrome). An uncommon image. Rev Esp Enferm Dig. 2011;103:482-3.Kincaid K, Ramirez EG. Esophageal rupture: Boerhaave syndrome. Crit Care Nurs Q. 2012;35:196-202.Zanini G, Pelati A, Racheli M, et al. Boerhaave's syndrome -- a difficult differential diagnosis of chest pain. Kardiol Pol. 2010;68:1040-2.

For the PDF of this article,
contact nzmj@nzma.org.nz

View Article PDF

A 59-year-old female with a background of hiatal hernia presented with a sudden onset of breathlessness and epigastric pain. On examination, there was evidence of intense pain on epigastric palpation.She was haemodynamically stable at presentation, with oxygen saturations of 95% breathing room air, but during the next hours she showed a continuous decrease of the haematocrit and respiratory difficulties.A chest radiograph (Figure 1) was obtained at presentation, and a thoracic computed tomography (CT) scan (Figure 2) was also obtained. Figure 1. Chest radiograph What is the diagnosis? Figure 2. Images from a CT scan Answer and Discussion

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Victoria Mayoral Campos; Claudia Bonnet Carr 00f3n; Beatriz Carro Alonso; Blanca Madariaga Ruiz; Jos 00e9 Mar 00eda Sainz Mart 00ednez; Department of Radiology, Hospital Cl 00ednico Universitario Lozano Blesa, Zaragoza, Spain

Acknowledgements

Correspondence

Dra. Victoria Mayoral Campos, Department of Radiology, Hospital Cl 00ednico Universitario Lozano Blesa, Avenida San Juan Bosco 15, 50009, Zaragoza, Spain.

Correspondence Email

vickymayoral@gmail.com

Competing Interests

Salvador Baudet J, Arencibia A, Soler M, et al. Spontaneous esophageal rupture (Boerhaave's syndrome). An uncommon image. Rev Esp Enferm Dig. 2011;103:482-3.Kincaid K, Ramirez EG. Esophageal rupture: Boerhaave syndrome. Crit Care Nurs Q. 2012;35:196-202.Zanini G, Pelati A, Racheli M, et al. Boerhaave's syndrome -- a difficult differential diagnosis of chest pain. Kardiol Pol. 2010;68:1040-2.

For the PDF of this article,
contact nzmj@nzma.org.nz

View Article PDF

A 59-year-old female with a background of hiatal hernia presented with a sudden onset of breathlessness and epigastric pain. On examination, there was evidence of intense pain on epigastric palpation.She was haemodynamically stable at presentation, with oxygen saturations of 95% breathing room air, but during the next hours she showed a continuous decrease of the haematocrit and respiratory difficulties.A chest radiograph (Figure 1) was obtained at presentation, and a thoracic computed tomography (CT) scan (Figure 2) was also obtained. Figure 1. Chest radiograph What is the diagnosis? Figure 2. Images from a CT scan Answer and Discussion

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Victoria Mayoral Campos; Claudia Bonnet Carr 00f3n; Beatriz Carro Alonso; Blanca Madariaga Ruiz; Jos 00e9 Mar 00eda Sainz Mart 00ednez; Department of Radiology, Hospital Cl 00ednico Universitario Lozano Blesa, Zaragoza, Spain

Acknowledgements

Correspondence

Dra. Victoria Mayoral Campos, Department of Radiology, Hospital Cl 00ednico Universitario Lozano Blesa, Avenida San Juan Bosco 15, 50009, Zaragoza, Spain.

Correspondence Email

vickymayoral@gmail.com

Competing Interests

Salvador Baudet J, Arencibia A, Soler M, et al. Spontaneous esophageal rupture (Boerhaave's syndrome). An uncommon image. Rev Esp Enferm Dig. 2011;103:482-3.Kincaid K, Ramirez EG. Esophageal rupture: Boerhaave syndrome. Crit Care Nurs Q. 2012;35:196-202.Zanini G, Pelati A, Racheli M, et al. Boerhaave's syndrome -- a difficult differential diagnosis of chest pain. Kardiol Pol. 2010;68:1040-2.

Contact diana@nzma.org.nz
for the PDF of this article

View Article PDF

A 59-year-old female with a background of hiatal hernia presented with a sudden onset of breathlessness and epigastric pain. On examination, there was evidence of intense pain on epigastric palpation.She was haemodynamically stable at presentation, with oxygen saturations of 95% breathing room air, but during the next hours she showed a continuous decrease of the haematocrit and respiratory difficulties.A chest radiograph (Figure 1) was obtained at presentation, and a thoracic computed tomography (CT) scan (Figure 2) was also obtained. Figure 1. Chest radiograph What is the diagnosis? Figure 2. Images from a CT scan Answer and Discussion

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Victoria Mayoral Campos; Claudia Bonnet Carr 00f3n; Beatriz Carro Alonso; Blanca Madariaga Ruiz; Jos 00e9 Mar 00eda Sainz Mart 00ednez; Department of Radiology, Hospital Cl 00ednico Universitario Lozano Blesa, Zaragoza, Spain

Acknowledgements

Correspondence

Dra. Victoria Mayoral Campos, Department of Radiology, Hospital Cl 00ednico Universitario Lozano Blesa, Avenida San Juan Bosco 15, 50009, Zaragoza, Spain.

Correspondence Email

vickymayoral@gmail.com

Competing Interests

Salvador Baudet J, Arencibia A, Soler M, et al. Spontaneous esophageal rupture (Boerhaave's syndrome). An uncommon image. Rev Esp Enferm Dig. 2011;103:482-3.Kincaid K, Ramirez EG. Esophageal rupture: Boerhaave syndrome. Crit Care Nurs Q. 2012;35:196-202.Zanini G, Pelati A, Racheli M, et al. Boerhaave's syndrome -- a difficult differential diagnosis of chest pain. Kardiol Pol. 2010;68:1040-2.

Contact diana@nzma.org.nz
for the PDF of this article

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