查詢結果分析
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頁籤選單縮合
題 名 | Boerhaave Syndrome Secondary to Renal Colic=腎絞痛後發生Boerhaave Syndrome |
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作 者 | 廖文翊; 劉家成; 黃才旺; 徐克強; | 書刊名 | Journal of Medical Sciences |
卷 期 | 29:4 2009.08[民98.08] |
頁 次 | 頁225-228 |
分類號 | 416.273 |
關鍵詞 | 腎絞痛; Boerhaave syndrome; Esophageal rupture; Renal colic; Multidetector computed tomography; |
語 文 | 英文(English) |
英文摘要 | Boerhaave syndrome (BS) or spontaneous esophageal rupture represents a special instance of baro-trauma to the lower esophagus; this syndrome is rare and potentially fatal if treatment is delayed or there is a missed diagnosis. The triad of chest pain, vomiting and subcutaneous emphysema is critical for the diagnosis. However, difficulties occur when the diagnosis takes place at the emergency department (ED) and may arise as a result of an atypical presentation; this can lead to a challenging emergency. Here we report a case of patient at an ED who sustained BS and was initially diagnosed as having left renal colic. We emphasize that a high index of suspicion as well as a thorough systematic evaluation using imaging approaches promptly together with a judicious emergency procedure, in this case tubal thoracostomy, are the key points to identify the associated life-threatening pathology in these patients. |
本系統中英文摘要資訊取自各篇刊載內容。