boerhaave's syndrome Flashcards
1
Q
what
A
spontaneous rupture of oesophagus occuring due to repeated epidosdes of vomiting
2
Q
where is rupture usually sited
A
distally and on the left
3
Q
usual history
A
sudden onset severe chest pain
prev vomiting
4
Q
diagnosis made by
A
CT contrast swallow
5
Q
Mx
A
thoracotomy and lavage
if <12hrs since onset primary repair
6
Q
Mackler triad
A
vomiting
thoracic pain
subcutaneous emphysema
7
Q
usual patient
A
middle aged man
Hx alcohol abuse
