Saudi Journal of Gastroenterology
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Year : 2011  |  Volume : 17  |  Issue : 1  |  Page : 82-83
An unusual cause of left-sided severe chest pain

1 Department of Surgery, Ronak Endo-Laparoscopy and General Surgical Hospital, Patan, India
2 General Practitioner, Ahmedabad, Gujarat, India

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Date of Web Publication31-Dec-2010

How to cite this article:
Yagnik VD, Yagnik BD. An unusual cause of left-sided severe chest pain. Saudi J Gastroenterol 2011;17:82-3

How to cite this URL:
Yagnik VD, Yagnik BD. An unusual cause of left-sided severe chest pain. Saudi J Gastroenterol [serial online] 2011 [cited 2019 Oct 14];17:82-3. Available from:

A 50-year-old lady presented to the emergency room with severe left-sided chest pain following an episode of forceful vomiting. A history of giddiness was present. Her past medical and surgical history were insignificant. On examination, she was having a respiratory rate of 24/min and her blood pressure was 100/60 mmHg. She was diaphoretic and surgical emphysema was present. On plain radiography, hydropneumothorax was present. Gastrograffin study of the patient was performed [Figure 1].
Figure 1: Gastrograffi n study

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   Questions Top

Q1. What is the diagnosis?

Q2. What is the classical presentation of this condition?

Q3. What are the characteristics of pleural fluid in this condition?

Q4. Which are the factors that decide the line of management in this condition?

Q5. What are the indications for conservative line of management in this condition?

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   References Top

1.Drury M, Anderson W, Heffner JE. Diagnostic value of pleural fluid cytology in occult Boerhaave's syndrome. Chest 1992;102:976-8.  Back to cited text no. 1
2.Brewer LA, Carter R, Mulder GA, Stiles QR. Options in the management of perforations of the esophagus. Am J Surg 1986;152:62-9  Back to cited text no. 2
3.Shaffer HA Jr, Valenzuela G, Mittal RK. Esophageal perforation. A reassessment of the criteria for choosing medical or surgical therapy. Arch Intern Med 1992;152:757-61.  Back to cited text no. 3

Correspondence Address:
Vipul D Yagnik
77, Siddhraj Nagar, Rajmahal Road, Patan - 384 265, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.74445

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