Mediastinal emphysema in the context of perforated gastric ulcer  

作　　者：Debkumar Chowdhury 

机构地区：[1]Department of Emergency Medicine,Wythenshawe Hospital,Manchester M239LT,United Kingdom

出　　处：《World Journal of Clinical Cases》2024年第15期2479-2481,共3页世界临床病例杂志

摘　　要：In the context of mediastinal emphysema/pneumomediastinum,the main aetiologies are associated with oesophageal perforation,lung pathology or post head and neck surgery related.The main way to differentiate the pathologies would be through Computed Tomographic Imaging of the Thorax and abdomen with oral and intravenous contrast in the context of triple phase imaging.The causes of pneumomediastinum should be differentiated between traumatic and non-traumatic.Oesophageal perforation(Boerhaave syndrome)is associated with Mackler’s triad in upto 50%of patients(severe retrosternal chest pain,pneumomediastinum,mediastinitis).Whereas in cases of lung pathology this can be associated with pneumothorax and pleural effusion.

关 键 词：PNEUMOMEDIASTINUM Duodenal ulcer Computed tomography Visceral perforation Diagnostic imaging Emergency care 

分 类 号：R656.64[医药卫生—外科学]