Esophageal injuries are uncommon but should be considered in accident victims with penetrating wounds; lower cervical or upper thoracic trauma, following instrumentation; foreign body ingestion; or heavy emesis.
Esophageal injuries may coexist with important associated airway or vascular injuries that should be actively excluded.
Traditionally, water-soluble contrast medium esophagography has been considered a crucial procedure for diagnosing esophageal rupture. Recently, multidetector-row computed tomography (MDCT) is often used as the first imaging modality to identify esophageal trauma and to map contained esophageal injuries that will be treated conservatively.
KeywordsForeign Body Esophageal Perforation Esophageal Wall Intramural Hematoma Esophageal Injury
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