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Esophageal Perforation
John P. Lichtenberger, III, MD; Diane C. Strollo, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Esophageal tear
              • Esophageal laceration
            • Definitions

              • Boerhaave syndrome: Esophageal rupture after forceful emesis
              • Mallory-Weiss tear: Partial-thickness tear after forceful emesis

            IMAGING

            • General Features

              • Radiographic Findings

                • Fluoroscopic Findings

                  • CT Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Cutaia G et al: Caustic ingestion: CT findings of esophageal injuries and thoracic complications. Emerg Radiol. 28(4):845-56, 2021
                                    2. Norton-Gregory AA et al: CT esophagography for evaluation of esophageal perforation. Radiographics. 41(2):447-61, 2021
                                    3. Wei CJ et al: Diagnostic utility of CT and fluoroscopic esophagography for suspected esophageal perforation in the emergency department. AJR Am J Roentgenol. 215(3):631-8, 2020
                                    4. Young CA et al: CT features of esophageal emergencies. Radiographics. 28(6):1541-53, 2008
                                    5. Fadoo F et al: Helical CT esophagography for the evaluation of suspected esophageal perforation or rupture. AJR Am J Roentgenol. 182(5):1177-9, 2004
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Synonyms

                                                • Esophageal tear
                                                • Esophageal laceration
                                              • Definitions

                                                • Boerhaave syndrome: Esophageal rupture after forceful emesis
                                                • Mallory-Weiss tear: Partial-thickness tear after forceful emesis

                                              IMAGING

                                              • General Features

                                                • Radiographic Findings

                                                  • Fluoroscopic Findings

                                                    • CT Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Cutaia G et al: Caustic ingestion: CT findings of esophageal injuries and thoracic complications. Emerg Radiol. 28(4):845-56, 2021
                                                                      2. Norton-Gregory AA et al: CT esophagography for evaluation of esophageal perforation. Radiographics. 41(2):447-61, 2021
                                                                      3. Wei CJ et al: Diagnostic utility of CT and fluoroscopic esophagography for suspected esophageal perforation in the emergency department. AJR Am J Roentgenol. 215(3):631-8, 2020
                                                                      4. Young CA et al: CT features of esophageal emergencies. Radiographics. 28(6):1541-53, 2008
                                                                      5. Fadoo F et al: Helical CT esophagography for the evaluation of suspected esophageal perforation or rupture. AJR Am J Roentgenol. 182(5):1177-9, 2004