Originals

Pediatric Radiology

, Volume 18, Issue 6, pp 468-470

Pneumatic rupture of the esophagus caused by carbonated drinks

  • J. MeyerovitchAffiliated withPediatric Intensive Care Unit, The Chaim Sheba Medical Center
  • , T. Ben AmiAffiliated withDepartment of Radiology, The Chaim Sheba Medical Centerthe Tel Aviv University Sackler School of Medicine
  • , J. RozenmanAffiliated withDepartment of Radiology, The Chaim Sheba Medical Centerthe Tel Aviv University Sackler School of Medicine
  • , Z. BarzilayAffiliated withPediatric Intensive Care Unit, The Chaim Sheba Medical Center

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

Abstract

Pneumatic rupture of the esophagus occurs when gas under pressure is accidentally delivered into the oral cavity. To the 4 cases previously described we add 2 pediatric patients and in both the source of the offending gas was a bottle of carbonated drink. The mild initial symptoms were followed in both by physical and radiographic findings suggesting pharyngoesophageal perforation. Early radiologic findings included free subcutaneous and mediastinal air, followed later by hydropneumothorax and mediastinal widening as well as leak of contrast material on gastrografin swallow. CT findings contributed to patient evaluation and management.