Unilateral Pleural Effusion Revealing Boerhaave‘s Syndrome

Groote, Katrien De; Leys, Mark; Verhamme, M

doi:10.2143/acb.3402

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…3 Owing to the usual location of perforation, 75%–90% of cases result in a unilateral left-sided pleural effusion that can progress to empyema. 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: 99%

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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: 99%

“…12,13 Importantly, on multiple CTs, our patient did not have convincing evidence of pneumomediastinum but did have a definitive diagnosis made by a swallow study. 4,14…”

Section: Discussionmentioning

confidence: 99%

Boerhaave Syndrome Causing Bilateral Empyemas

et al. 2019

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“…7 Ninety percent of cases result in left pleural effusion. 8 There are only two reports of development of bilateral empyema in patients with Boerhaave syndrome. 9,10 Intervention is indicated in patients who have empyema, are clinically deteriorating, or if there is progression of pneumomediastinum or pneumothorax.…”

Section: Discussionmentioning

confidence: 99%

Boerhaave Syndrome: An Uncommon Cause of Hydropneumothorax

Sivakumar¹,

Chandrasekhar²,

Mounika³

et al. 2022

The Indian Journal of Chest Diseases and Allied Sciences

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We report the case of a 52-year-old patient with type 2 diabetes mellitus diagnosed with adenocarcinoma rectum, presenting with the complaint of breathlessness to the emergency department. Chest radiograph done showed a left-sided hydropneumothorax with mediastinal shift to the right side. Tube thoracostomy was done. Pleural fluid was exudative; there was no evidence of malignancy. The patient developed a right-sided pleural effusion; anaerobic bacteria were grown on pleural fluid culture. Computed tomography (CT) of the chest was done in view of the new onset empyema on the right side. The CT showed pneumomediastinum and periesophageal air pockets. Orally administered methylene blue had appeared in the pleural drain confirming the diagnosis. The patient was taken up for feeding jejunostomy and repair of tear was planned for a later date. He succumbed to sepsis due to empyema.

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Unilateral Pleural Effusion Revealing Boerhaave‘s Syndrome

Cited by 2 publications

References 3 publications

Boerhaave Syndrome Causing Bilateral Empyemas

Boerhaave Syndrome Causing Bilateral Empyemas

Boerhaave Syndrome: An Uncommon Cause of Hydropneumothorax

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