Boerhaave Syndrome
→ Esophageal Tear of Lower 1/3rd
→ Clinical Feature
→ History of Alcoholic / Binge Drinking
→ Presents with Retching chest Pain & Syncope
→ Chemical mediastinitis
→ Pneumomediastium
→ Mackler’s Triad =Chest Pain+Vomiting+ SC Emphysema
→ Investigation
653 Chest Pain Illustrations & Clip Art - iStock
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Chest X Ray
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Chest CT with Contrast - IOC
Chest Pain
→ Rx– Surgical Repair
Mackler’s Triad
Subcutaneous Emphysema: Symptoms, Causes, Diagnosis, Treatment, and Coping
Vomiting
Subcutaneous Emphysema