Esophageal injury: Difference between revisions
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==Background== | ==Background== | ||
[[File:Gray1032.png|thumb|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]] | [[File:Gray1032.png|thumb|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]] | ||
[[File:Layers of the GI Tract english.svg|thumb|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]] | [[File:Layers of the GI Tract english.svg|thumb|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]] | ||
[[File:Illu esophagus.jpg|thumb|Esophagus anatomy and nomenclature based on two systems.]] | [[File:Illu esophagus.jpg|thumb|Esophagus anatomy and nomenclature based on two systems.]] | ||
==Clinical Features== | ==Clinical Features== | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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{{Thoracic trauma DDX}} | {{Thoracic trauma DDX}} | ||
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==Evaluation== | ==Evaluation== | ||
[[File:Boerhaave.jpg|thumbnail|Mediastinal air adjacent to the aorta and tracking cephalad adjacent to the left common carotid artery.]] | [[File:Boerhaave.jpg|thumbnail|Mediastinal air adjacent to the aorta and tracking cephalad adjacent to the left common carotid artery.]] | ||
[[File:Fig2-A-gastrografin-esophagram-shows-a-leak-to-the-left-thoracic-cavity.jpg|thumb|Gastrografin esophagram showing a leak into the left thoracic cavity.]] | [[File:Fig2-A-gastrografin-esophagram-shows-a-leak-to-the-left-thoracic-cavity.jpg|thumb|Gastrografin esophagram showing a leak into the left thoracic cavity.]] | ||
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*Initial study should be esophagogram with water-soluble contrast | *Initial study should be esophagogram with water-soluble contrast | ||
**If negative or ambiguous follow with barium contrast or flexible esophagoscopy | **If negative or ambiguous follow with barium contrast or flexible esophagoscopy | ||
==Management== | ==Management== | ||
*[[Volume resuscitation]] | |||
*Broad-spectrum IV [[antibiotics]] | *[[Special:MyLanguage/Volume resuscitation|Volume resuscitation]] | ||
*Broad-spectrum IV [[Special:MyLanguage/antibiotics|antibiotics]] | |||
*Emergent surgical consultation | *Emergent surgical consultation | ||
==Disposition== | ==Disposition== | ||
==See Also== | ==See Also== | ||
*[[Thoracic Trauma]] | |||
*[[Esophageal perforation]] | *[[Special:MyLanguage/Thoracic Trauma|Thoracic Trauma]] | ||
*[[Special:MyLanguage/Esophageal perforation|Esophageal perforation]] | |||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
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Latest revision as of 22:52, 4 January 2026
Background
Clinical Features
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
Evaluation
- Initial study should be esophagogram with water-soluble contrast
- If negative or ambiguous follow with barium contrast or flexible esophagoscopy
Management
- Volume resuscitation
- Broad-spectrum IV antibiotics
- Emergent surgical consultation
Disposition
See Also