肋间管中的牛奶揭示 Boerhaave 综合征

IF 0.8 Q4 RESPIRATORY SYSTEM
Respirology Case Reports Pub Date : 2024-10-27 eCollection Date: 2024-10-01 DOI:10.1002/rcr2.70056
Manasa Kuthadi, Surendar Reddy K, Narayana Mood, Alekya Papayagari, Rakesh Gattu
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引用次数: 0

摘要

一名 77 岁的男子因意识丧失和慢性咳嗽病史而被送入急诊室,咳嗽强度在过去一周内不断加重。放射检查发现双侧胸腔积液,初步判断为渗出性病因。诊断性胸腔穿刺显示渗出性积液,淀粉酶较高,并为左侧大量积液插入了肋间引流管。与最初的临时诊断相反,在肋间引流管中发现摄入的牛奶引起了对布尔哈韦综合征的怀疑。大约 90% 的穿孔发生在食道远端左侧,表现为左侧胸腔积液。不到10%的患者会出现双侧胸腔积液。该患者的临床表现是确诊的关键。不幸的是,他最终因败血症而死亡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Milk in the intercostal tube: Revealing Boerhaave syndrome.

We present an uncommon pathology of Boerhaave's syndrome and its fatal outcome in a 77-year-old man who presented to the emergency room with loss of consciousness and a history of chronic cough that had increased in intensity over the past week. Radiological investigations revealed bilateral pleural effusion, initially pointing to a transudative aetiology. Diagnostic pleural aspiration showed an exudative effusion with high amylase, and an intercostal drainage tube was inserted for the left massive effusion. Contrary to the initial provisional diagnosis, the discovery of ingested milk in the intercostal drainage tube raised suspicion of Boerhaave's syndrome. Around 90% of perforations occur on the left side of the distal oesophagus, presenting as a pleural effusion on the left side. Less than 10% of patients experience bilateral pleural effusions. This patient's clinical presentation, which led to the diagnosis, is of interest. Unfortunately, he eventually lapsed into sepsis and succumbed.

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来源期刊
Respirology Case Reports
Respirology Case Reports RESPIRATORY SYSTEM-
CiteScore
1.40
自引率
0.00%
发文量
178
审稿时长
8 weeks
期刊介绍: Respirology Case Reports is an open-access online journal dedicated to the publication of original clinical case reports, case series, clinical images and clinical videos in all fields of respiratory medicine. The Journal encourages the international exchange between clinicians and researchers of experiences in diagnosing and treating uncommon diseases or diseases with unusual presentations. All manuscripts are peer-reviewed through a streamlined process that aims at providing a rapid turnaround time from submission to publication.
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