Spontaneous esophageal rupture from sudden combined increase in intra-abdominal pressure and negative intrathoracic pressure
Causes complete, full-thickness (transmural), longitudinal...
Often no classic symptoms
Most common symptoms:
Chest or epigastric pain after vomiting/retching
Airway control must be established if patient unresponsive or airway patency in jeopardy.
Establish 2 large-bore intravenous catheters and treat hypotension with 0.9% NS.
Cervical esophageal perforations may be treated by drainage alone.
All thoracic and abdominal pe...
Chest radiographs done immediately after injury may be normal.
Left pleural space involvement is usually associated with a distal esophageal perforation.
Right pleural space involvem...
Brinster CJ, Singhal S, Lee L, et al. Evolving options in the management of esophageal perforation. Ann Thoracic Surg. 2004;77:1475–1483.
Katabathina VS, Restrepo CS, Mart...
19995004 Spontaneous rupture of esophagus (disorder)
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