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A 58-year-old male presents to the emergency department with dyspnea, and severe chest pain that radiates to his shoulder. He has a history of alcoholism and has just finished a 4-day drinking binge. On examination, crepitus is heard on palpation of the chest wall, and his pain worsens as he swallows. A diagnosis of Boerhaave syndrome is suspected and thoracentesis drains 800 ml of brown liquid. What is the most common site of esophageal perforation?
A. Cervical esophagus
B. Intra-abdominal esophagus
C. Left posterolateral aspect of distal intrathoracic esophagus
D. Right anterior aspect of proximal intrathoracic esophagus
Post your guess here, then check Figure 1 to see if you're right!
Explore cases, quiz yourself, and solve medical mysteries along with thousands of other medical professionals around the world on Figure 1, the free app where doctors expand their clinical knowledge.
A. Cervical esophagus
B. Intra-abdominal esophagus
C. Left posterolateral aspect of distal intrathoracic esophagus
D. Right anterior aspect of proximal intrathoracic esophagus
Post your guess here, then check Figure 1 to see if you're right!
Explore cases, quiz yourself, and solve medical mysteries along with thousands of other medical professionals around the world on Figure 1, the free app where doctors expand their clinical knowledge.
