WikEM
  • Donate!
  • Categories
  • Mobile Apps
  • Journal Club
  • Antibiotics
  • Quick Critical Care
  • Residency Directory
  • Recent Changes
  • Using WikEM
    • About WikEM
    • Getting Started
    • Creating & Editing
    • Needed Pages
    • App Help
    • Newsletter
    • EM Forum
  • Getting Credit
    • Editorial Levels
    • Contribution Score
    • Elective Guide
    • Citing WikEM
  • Tools
    • What links here
    • Related changes
    • Special pages
    • Permanent link
    • Page information
    • Browse properties
Harbor-UCLA Foundational
Sponsor
  • More
  • Page
  • Discussion
  • View
  • View source
  • History
  • Create account
  • Log in
WikEM

We need you! See something you could improve? Make an edit and help improve WikEM for everyone.

Esophageal injury

Contents

  • 1 Background
  • 2 Clinical Features
  • 3 Differential Diagnosis
    • 3.1 Thoracic Trauma
  • 4 Workup
  • 5 Management
  • 6 Disposition
  • 7 See Also
  • 8 References

Background

Clinical Features

Differential Diagnosis

Thoracic Trauma

  • Airway/Pulmonary
    • Bronchial injury
    • Diaphragm injury
    • Hemothorax
    • Pulmonary contusion
    • Tracheal injury
    • Trachobronchial injury
    • Traumatic pneumothorax
      • Tension pneumothorax
  • Cardiac/Vascular
    • Cardiac injury
      • Blunt cardiac injury
        • Cardiac contusion
        • Commotio cordis
      • Penetrating cardiac injury
      • Cardiac tamponade
    • Traumatic aortic transection
  • Musculoskeletal
    • Clavicle fracture
      • Clavicle fracture (peds)
    • Rib fracture
      • Flail chest
    • Scapular fracture
    • Scapulothoracic dissociation
    • Sternoclavicular dislocation
    • Sternum fracture
    • Thoracic and lumbar fractures and dislocations
  • Other
    • Esophageal injury or Perforation
    • Pneumomediastinum
    • Pneumopericardium
    • Traumatic asphyxia

Workup

  • 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

  • Thoracic Trauma
  • Esophageal Perforation

References

Retrieved from "https://www.wikem.org/w/index.php?title=Esophageal_injury&oldid=230923"
Categories:
  • GI
  • Trauma
Authors:
  • Claire
  • Neil Young
  • Ross Donaldson
  • Privacy policy
  • About WikEM
  • Disclaimers
This page was last edited 20:36, 29 September 2019 by Claire. Donate