Mackler's triad
Last revised by Henry Knipe on 28 Jan 2022
Citation, DOI, disclosures and article data
Citation:
Neto A, Knipe H, Mackler's triad. Reference article, Radiopaedia.org (Accessed on 24 Apr 2024) https://doi.org/10.53347/rID-97005
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rID:
97005
Article created:
28 Jan 2022,
Antonio Rodrigues de Aguiar Neto ◉
Disclosures:
At the time the article was created Antonio Rodrigues de Aguiar Neto had no recorded disclosures.
View Antonio Rodrigues de Aguiar Neto's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Henry Knipe had no recorded disclosures.
View Henry Knipe's current disclosures
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Mackler's triad consists of the clinical symptoms of vomiting, followed by severe pain in the chest, usually retrosternal, lower thoracic, and upper abdominal, associated with subcutaneous emphysema detected on physical examination, which is suggestive of esophageal rupture (Boerhaave syndrome) 1-7.
History and etymology
Saul Allen Mackler (1913-2007), an American surgeon, described this eponymous finding in a paper in 1952 1,7.
References
- 1. Rodríguez-Infante A, Granero-Castro P, Álvarez-Pérez J, Turienzo-Santos E, Vázquez-Velasco L. Atypical Localization in Boerhaave's Syndrome. Rev Esp Enferm Dig. 2012;104(10):555-7. doi:10.4321/s1130-01082012001000012
- 2. Ng P. An Unusual Case of Chest Pain. Case Reports. 2013;2013(feb20 1):bcr-2013-008849-bcr-2013-008849. doi:10.1136/bcr-2013-008849 - Pubmed
- 3. Granel-Villach L, Fortea-Sanchis C, Martínez-Ramos D et al. Boerhaave's Syndrome: A Review of Our Experience over the Last 16 Years. Revista De Gastroenterología De México (English Edition). 2014;79(1):67-70. doi:10.1016/j.rgmxen.2013.11.001
- 4. Garas G, Zarogoulidis P, Efthymiou A et al. Spontaneous Esophageal Rupture as the Underlying Cause of Pneumothorax: Early Recognition is Crucial. J Thorac Dis. 2014;6(12):1655-8. doi:10.3978/j.issn.2072-1439.2014.12.04 - Pubmed
- 5. Catarino Santos S, Barbosa B, Sá M, Constantino J, Casimiro C. Boerhaave’s Syndrome: A Case Report of Damage Control Approach. Int J Surg Case Rep. 2019;58:104-7. doi:10.1016/j.ijscr.2019.04.030 - Pubmed
- 6. Wang J, Wang D, Chen J. Diagnostic Challenge and Surgical Management of Boerhaave’s Syndrome: A Case Series . J Med Case Reports. 2021;15(1):553. doi:10.1186/s13256-021-03080-1 - Pubmed
- 7. Witz M, Jedeikin R, ZagerM, Shpitz B, Elyashiv A, Dinbar A. Spontaneous Rupture of Distal Oesophagus (Boerhaave's Syndrome) with Unusual Clinical Presentation of Pneumoperitoneum. Postgrad Med J. 1984;60(699):60-1. doi:10.1136/pgmj.60.699.60 - Pubmed