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We present an overview of case reports and retrospective studies illustrating the utility of chest CT in the investigation of oesophageal rupture over fluoroscopic oesophagography.<\/jats:p>","DOI":"10.1136\/bcr-2023-255018","type":"journal-article","created":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T11:03:23Z","timestamp":1683111803000},"page":"e255018","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Pneumomediastinum complicating diabetic ketoacidosis"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2950-8436","authenticated-orcid":false,"given":"Siem","family":"Zethof","sequence":"first","affiliation":[{"name":"Intensive Care, Alrijne Zorggroep, Leiderdorp, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen","family":"Borstlap","sequence":"additional","affiliation":[{"name":"Radiology, Alrijne Zorggroep, Leiderdorp, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Vroomans","sequence":"additional","affiliation":[{"name":"Intensive Care, Alrijne Zorggroep, Leiderdorp, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martijn","family":"Groenendijk","sequence":"additional","affiliation":[{"name":"Intensive Care, Alrijne Zorggroep, Leiderdorp, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,5,3]]},"reference":[{"key":"2025082722470457000_16.5.e255018.1","doi-asserted-by":"publisher","DOI":"10.4103\/1947-2714.117296"},{"key":"2025082722470457000_16.5.e255018.2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1984.00350190143024"},{"key":"2025082722470457000_16.5.e255018.3","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1177\/1457496916654097","article-title":"Predictors of morbidity and mortality in esophageal perforation: retrospective study of 80 patients","volume":"106","author":"Zimmermann","year":"2017","journal-title":"Scand J Surg"},{"key":"2025082722470457000_16.5.e255018.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-013-1951-7"},{"key":"2025082722470457000_16.5.e255018.5","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1177\/1751143716662665","article-title":"Tension pneumomediastinum: a literal form of chest tightness","volume":"18","author":"Clancy","year":"2017","journal-title":"J Intensive Care Soc"},{"key":"2025082722470457000_16.5.e255018.6","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1001\/jamasurg.2015.1138","article-title":"Computed tomographic findings and mortality in patients with pneumomediastinum from blunt trauma","volume":"150","author":"Lee","year":"2015","journal-title":"JAMA Surg"},{"key":"2025082722470457000_16.5.e255018.7","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1016\/j.jamcollsurg.2014.06.001","article-title":"Spontaneous pneumomediastinum: an extensive workup is not required","volume":"219","author":"Bakhos","year":"2014","journal-title":"J Am Coll Surg"},{"key":"2025082722470457000_16.5.e255018.8","article-title":"Diabetic ketoacidosis: clinical characteristics and precipitating factors","volume":"12","author":"Shahid","year":"2020","journal-title":"Cureus"},{"key":"2025082722470457000_16.5.e255018.9","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1148\/rg.2021200132","article-title":"Ct esophagography for evaluation of esophageal perforation","volume":"41","author":"Norton-Gregory","year":"2021","journal-title":"Radiographics"},{"key":"2025082722470457000_16.5.e255018.10","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-019-0245-2"},{"key":"2025082722470457000_16.5.e255018.11","unstructured":"Nederlandse Internisten Vereniging . Diabetische keto-acidose en hyperosmolair hyperglykemisch non-ketotisch syndroom [Het Acute Boekje]. 2018. 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