Oesophageal Rupture Flashcards
1
Q
Oesophageal Rupture
A
is a rupture of the oesophageal wall - mostly caused iatrogenically
2
Q
Oesophageal Rupture Aetiology
A
Iatrogenic - 90%, during endoscopy, biopsy, or dilation. Boerhaave Syndrome Trauma Carcinoma Corrosive Ingestion
3
Q
Oesophageal Rupture Symptoms
A
Odynophagia - sore to swallow
Dyspnea SOB
4
Q
Oesophageal Rupture Signs
A
Fever, Tachypnoea, Shock, Surgical Emphysema - palpable in 30%
Mediastinal Crunch - hamman sign
5
Q
Oesophageal Rupture Investigations:
A
Oesophagography - confirms diagnosis
X-ray (Chest/Abdominal) - look for mediastinal air, mediastinal widening, or pleural effusion.
6
Q
Oesophageal Rupture Treatment
A
Conservative - iatrogenic perforations with NG tube, PPI and Antibiotics
Endoscopic Stenting, Surgical Repair.
