Esophageal Tear of Lower 1/3rd

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

  1. Chest X Ray

  2. Chest CT with Contrast - IOC

Chest Pain

→ Rx– Surgical Repair

Mackler’s Triad

Subcutaneous Emphysema: Symptoms, Causes, Diagnosis, Treatment, and Coping


Subcutaneous Emphysema