Radiology Notes

My notes during radiology residency, fellowship, and beyond…

Esophageal Perforation

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  • most commonly by iaotragenic causes (75% endoscopy)
  • most involve cervical esophagus, cricopharyngeaus muscle
  • untreated, 70% mortality
  • chest XR: pneumomediastinum, widened mediastinum, hydropneumothorax, pleural effusion, subcutaneous emphysema
  • confirm with gastrograffin esophogram = water soluble materal
  • CT good for further evaluation, finding location of leak

    Written by lmwong

    January 6, 2010 at 9:24 am

    Posted in chest, esophagus, gi

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