Spontaneous Rupture of the Esophagus

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Abstract
Spontaneous rupture of the esophagus should be considered in any patient in whom chest and upper abdominal pain follow a bout of retching or vomiting, or in patients sustaining a sudden increase in intra-abdominal pressure due to a variety of causes. The pertinent radiographic studies consist of an upright chest roentgenogram, a Bucky chest film, a scout film of the abdomen, and an esophagram. The ro-entgen findings essential to diagnosis include mediastinal emphysema, hydrothorax or hydropneumothorax, and extravasation of contrast material through the perforation.

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