Boerhaave syndrome laboratory findings
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamed Diab, MD [2], Ajay Gade MD[3]], Feham Tariq, MD [4]
Overview
Laboratory findings often are nonspecific. Patients may present with leukocytosis. As many as 50% of patients with Boerhaave syndrome have a hematocrit value of 50% due to fluid loss into pleural spaces and tissues.
Laboratory Findings
- Laboratory findings often are nonspecific.[1] [2]
- Patients may present with leukocytosis. As many as 50% of patients with Boerhaave syndrome have a hematocrit value of 50% due to fluid loss into pleural space and tissues.
- Many patients present with a pleural effusion.
- Thoracentesis with examination of the pleural fluid can aid in diagnosis which may contain undigested food, pH less than 6, or have an elevated amylase level.
References
- ↑ Attar S, Hankins JR, Suter CM, Coughlin TR, Sequeira A, McLaughlin JS (1990). "Esophageal perforation: a therapeutic challenge". Ann. Thorac. Surg. 50 (1): 45–9, discussion 50–1. PMID 2369229.
- ↑ Maher MM, Lucey BC, Boland G, Gervais DA, Mueller PR (2002). "The role of interventional radiology in the treatment of mediastinal collections caused by esophageal anastomotic leaks". AJR Am J Roentgenol. 178 (3): 649–53. doi:10.2214/ajr.178.3.1780649. PMID 11856691.