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Figure 1. A 71-year-old man began to have burning substernal pain while he was eating a sandwich. The pain became excruciating, worsened with breathing, and was accompanied by dyspnea. On admission to the hospital, he had hypoxemia, an elevated blood pressure, coarse rales in both lung bases, epigastric and flank tenderness, and diminished bowel sounds. A nasogastric tube was inserted, and a small amount of bloody fluid was removed. Computed tomography of the chest through the superior mediastinum with the use of intravenous and oral contrast medium showed air (A) in the mediastinum adjacent to the esophagus (E) and . . . [Full Text of this Article] |
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