Objective: This study aimed to evaluate the incidence of pulmonary embolism (PE) and tomographic findings in patients who underwent multislice computed tomography (MSCT) for suspected PE in the emergency department. Methods:We assessed the radiologic and medical records of 212 cases undergoing MSCT for suspected PE in the emergency department for a period of 16 months. A total of 201 cases were included in the final analysis. Age, sex, admission symptoms, risk factors, and MSCT findings were recorded. The final diagnosis assigned to each patient was determined. Results:The PE incidence was found to be 24,4%. Forty-nine (24,4%) of the cases were diagnosed with PE, while 152 (75,6%) had non-thromboembolic pathologies. There was no statistically significant difference between the patients with and without PE with respect to mean age, symptom status and gender (p>0.05). Among the risk factors for PE, only presence of previous surgical operation was statistically significant. Forty-three (87,7%) of the cases with PE and 118 (77,6%) of those without PE had additional parenchymal abnormalities.Linear atelectasis was the only significant difference in MSCT between patients with PE and those without PE (p<0.001).

Boerhaave Syndrome or spontaneous oesophageal rupture is a rare, potentially fatal condition (1-3). Patients usually present with pain, dyspnoea and signs of shock after forced vomiting (4). The Meckler triad consisting of vomiting, pain and subcutaneous emphysema is characteristic for Boerhaave Syndrome, although it is observed in only 30−50% of affected patients (5, 6). We present a case report of Boerhaave's syndrome presenting with chest pain after vomiting. A 47-year-old woman presented to our Emergency Department after sudden, left-sided chest pain after vomiting. On admission, her general status was moderately well. On physical examination, her breath sounds were diminished on the left haemithorax. A chest X-ray taken for diminished breath sounds on the left haemithorax showed pneumothorax and pleural effusion in the left haemithorax (Fig. 1). The patient was referred to the Thoracic Surgery Department and a tube thoracostomy was performed. It was immediately noted that gastric contents drained out of the tube (Fig. 3).