Diagnostic challenges in boerhaave syndrome with bilateral pleural contamination: complementary roles of computed tomography, endoscopy, and video-assisted thoracoscopic surgery - Takeaways - MDSpire
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Navigating Diagnostic Difficulties in Boerhaave Syndrome with Bilateral Pleural Involvement: The Complementary Functions of CT Imaging, Endoscopy, and Video-Assisted Thoracoscopic Surgery

  • By

  • Junxue Han

  • Ximing Mu

  • Chaojie Xue

  • Aofei Yang

  • Shujuan Bai

  • Dongde Li

  • August 12, 2026

Share

  • 1

    Boerhaave syndrome is a rare condition caused by esophageal perforation, often following severe vomiting, leading to serious complications.

  • 2

    Diagnosis can be challenging, as imaging may not always localize the perforation, complicating timely treatment.

  • 3

    A 36-year-old male patient presented with chest pain after vomiting, with CT revealing bilateral pleural effusions and pneumomediastinum.

  • 4

    The patient underwent video-assisted thoracoscopic surgery, which included pleural debridement and drainage, leading to recovery.

  • 5

    Effective diagnosis and management of Boerhaave syndrome require a multidisciplinary approach involving various specialists.

Original Source(s)

Diagnostic challenges in boerhaave syndrome with bilateral pleural contamination: complementary roles of computed tomography, endoscopy, and video-assisted thoracoscopic surgery

  • by Junxue Han, Ximing Mu, Chaojie Xue, Aofei Yang, Shujuan Bai, Dongde Li

  • August 12, 2026

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