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Related Subjects: |Assessing Chest Pain | Achalasia | Oesophageal Carcinoma | Diffuse Oesophageal spasm | Diffuse Oesophageal Perforation - Rupture | Gastro-Oesophageal Reflux | Barrett's oesophagus
Mackler's triad (vomiting, chest pain and surgical emphysema) is classical but absent in almost half the cases. The chest x-ray (CXR) may reveal surgical emphysema and a gastrografin swallow is diagnostic. A CT scan should be performed if a gastrografin swallow is not possible or negative.