Esophageal injury

Background

Clinical Features

Differential Diagnosis

Thoracic Trauma

Airway/Pulmonary
Cardiac/Vascular
- Cardiac injury
  - Blunt cardiac injury
    - Cardiac contusion
    - Commotio cordis
  - Penetrating cardiac injury
  - Cardiac tamponade
- Traumatic aortic transection
Musculoskeletal
Other

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

References

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