Boerhaave syndrome laboratory findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Ashwaan Uddin[[2]] Mohamed Diab, MD [3]

Overview

Laboratory Findings

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.

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.[1] [2]

References

  1. 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.
  2. 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.

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