Empiema bilateral secundario a una perforación esofágica espontánea

Makikado, Luis Daniel Umezawa; Rocca, César Augusto Noriega; Gianella, Gonzalo

doi:10.1016/j.arbres.2014.12.008

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2019

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“…4 Although unilateral effusion is somewhat common with this pathology, only 1 case report has demonstrated bilateral empyemas as a consequence of Boerhaave syndrome. 5,6 This patient's fluoroscopy only demonstrated a leak into the mediastinum and right pleural space, which is likely because of delayed imaging, allowing a left-sided tear to heal.…”

Section: Discussionmentioning

confidence: 93%

Boerhaave Syndrome Causing Bilateral Empyemas

et al. 2019

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Boerhaave syndrome is a perforation of the esophagus caused by a sudden increase in intraluminal pressure. It is known to be associated with left-sided pleural effusion and mediastinitis, but rarely presents with bilateral effusion. Its association with the presence of a hiatal hernia is unclear. We present a patient with a hiatal hernia who developed bilateral empyemas because of Boerhaave syndrome and was treated with an endoscopically placed esophageal stent.

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Section: Discussionmentioning

confidence: 93%