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- W2079063693 abstract "Le Smur local a pris en charge un patient souffrant brutalement d'une douleur épigastrique migratrice dans le dos. Le tableau clinique faisait initialement évoquer une dissection aortique. Admis au déchoquage du CHU de Grenoble, le bilan radiologique a écarté une pathologie cardiovasculaire. La chirurgie en urgence, quelques heures seulement après le début des symptômes, a permis finalement de diagnostiquer une rupture spontanée de l'œsophage. Grâce à une prise en charge rapide et spécialisée, une évolution défavorable du syndrome de Boerhaave a pu être évitée. Cette pathologie rare, aux symptômes peu spécifiques, doit être évoquée en préhospitalier, même si le diagnostic à ce stade est particulièrement difficile. The local mobile emergency unit took charge of a patient who suffered from a sudden migratory epigastric pain in the back. The clinical picture led to an initial diagnosis of an aorta dissection. Admitted to Grenoble UH's emergency unit, the radiological examination ruled out a cardiovascular pathology. Emergency surgery, performed only a few hours after the symptoms began, allowed to correctly diagnose a spontaneous rupture of the oesophagus. Fast and specialised medical treatment avoided the risk of an unfavourable development of the Boerhaave's syndrome. It is essential that mobile emergency units personnel are made aware of this rare pathology, even though it remains particularly difficult to diagnose due to its rather non-specific symptoms." @default.
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- W2079063693 date "2006-10-01" @default.
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- W2079063693 title "Diagnostic trompeur d'une douleur épigastrique migratrice en préhospitalier : la rupture spontanée de l'œsophage" @default.
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- W2079063693 doi "https://doi.org/10.1016/j.annfar.2006.04.016" @default.
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