Boerhaave Syndrome

Started by rgbrgb2001
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rgbrgb2001

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Why does Boehaave syndrome cause a pleural effusion?

P.S. I have loads of pathology questions can anyone recommend another forum more focussed on answering these sort of questions.
 
An esophageal rupture is going to cause a huge amount of local irritation. Combine that with extended intense vomiting (extreme fluctuations in intrathoracic pressure) and you have a highly agitated area that is going to be recruiting a lot of inflammatory agents. This is enough, in my eyes, to cause a pleural effusion. The question that arises is "Is the esophageal rupture due to extended vomiting or has the esophageal and surrounding connective tissue been compromised by tumor or abscess or whatever?" The patient has probably also aspirated during the episodes. That's just my thoughts.
 
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See, SDN is even better than Robbins, and completely free! Dozens of pathologists just waiting to do your homework!
 
and for an important clinical correlation, the high mortality is enhanced by the frequent initial clinical impression
of a cardiac event when the patient really needs emergent surgery. it makes sense. common things are common.
 
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