Perforated oesophagus: Review of twenty-eight consecutive cases

Appleton, D. S.; Sandrasagra, F.A.; Flower, C. D. R.

doi:10.1016/s0009-9260(79)80178-6

Cited by 15 publications

(6 citation statements)

References 7 publications

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“…Air may be seen in the mediastinum and in the soft tissues of the neck; there may be pneumo-or hydrothorax and multiple abscesses [4]. Diagnosis of oesophageal perforation is confirmed by the demonstration of extravasation of the oral contrast material into the mediastinum and pleural space (Fig.…”

Section: Mediastinitis and Mediastinal Abscessesmentioning

confidence: 99%

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The anterior mediastinum: diseases

Priola

Cardinale

et al. 2006

Radiol med

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Mediastinal tumours are frequently asymptomatic and first noted on routine chest radiograph. In most cases, evaluation should proceed to spiral computed tomography (sCT) of the chest with iodinated contrast material. The specific location and appearance of tumours on sCT is instrumental in planning further diagnostic and treatment strategies. Primary tumours in the anterior mediastinum account for half of all mediastinal masses. They comprise various benign and malignant neoplasms, but a wide variety of nonneoplastic lesions (developmental, inflammatory) can present as a localised mass in this compartment. The most common primary anterior mediastinal tumours are thymoma, teratoma and lymphoma; all other lesions are rare. Nonneoplastic conditions include thymic cysts, lymphangioma and intrathoracic goitre. Understanding the pathology, clinical presentation, imaging and diagnosis of the major tumour types is instrumental in the safe and efficient work-up of a mediastinal mass. Patients with primary mediastinal masses and cysts will usually undergo surgical resection; radiological and clinical features should prompt limited biopsy specimens followed by oncologic consultation, and chemotherapy or radiotherapy when appropriate. The objective of this review was to examine the role of diagnostic imaging in the management of masses of the anterior mediastinum.

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Section: Mediastinitis and Mediastinal Abscessesmentioning

confidence: 99%

“…Può essere riconoscibile aria in mediastino e nei tessuti molli del collo, evidenziarsi uno pneumo/idrotorace, si possono sviluppare ascessi multipli [4]. La diagnosi di perforazione esofagea è confermata dalla dimostrazione di stravaso di mezzo di contrasto assunto per os in mediastino o nello spazio pleurico (Fig.…”

Section: Mediastiniti Ed Ascessi Mediastiniciunclassified

The anterior mediastinum: diseases

Priola

Cardinale

et al. 2006

Radiol med

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“…Schmerzen, Dysphagie und Dyspnoe sind die h/iufigsten Klagen. In ungef'~ihr 80% aller F~ille sind auf der Thoraxfibersichtsr6ntgenaufnahme pathologische Befunde zu erheben [1,19]. Nicht immer setzen die Beschwerden unverziiglich rnit der Verletzung ein [14], sondern entwickeln sich erst mit Fortschreiten der Entziindung.…”

unclassified

“…Cervicale Perforationen k6nnen sich nach intrathorakal projizieren, w/ihrend intrathorakale L/isionen sich mit epigastrischen Beschwerden pr/isentieren k6nnen. PleuraerguB sind die h/iufigsten Befunde [1]. Unter Umstfinden kann die Oesophagusperforation auch ohne wesentliche Beschwerden auftreten [16].…”

unclassified

“…Nicht immer setzen die Beschwerden unverziiglich rnit der Verletzung ein [14], sondern entwickeln sich erst mit Fortschreiten der Entziindung. Wfihrend der ersten Stunde nach der Verletzung sind unter Umst/inden jedoch noch keine Ver/inderungen festzustellen [1]. In ungef'~ihr 80% aller F~ille sind auf der Thoraxfibersichtsr6ntgenaufnahme pathologische Befunde zu erheben [1,19].…”

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Spontane und andere nicht tumorbedingte Oesophagusperforationen

Keller

Müller

Pichlmaier

1987

Langenbecks Arch Chiv

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The outcome of esophageal perforation is determined by the cause and localisation, but mainly by the time lapse between trauma and therapy. Spontaneous and intraoperative ruptures are most dangerous. Treatment of choice is direct closure and drainage. If this is not possible, esophagectomy or exclusion and diversion in continuity should be considered. The injury may present itself with rather unspecific symptoms. Pathological findings in the plain chest roentgenogram and gastrographin study will confirm diagnosis in nearly all cases.

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Iatrogenic Disorders of the Esophagus

Braver¹

1983

Radiology of Iatrogenic Disorders

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Perforated oesophagus: Review of twenty-eight consecutive cases

Cited by 15 publications

References 7 publications

The anterior mediastinum: diseases

The anterior mediastinum: diseases

Spontane und andere nicht tumorbedingte Oesophagusperforationen

Iatrogenic Disorders of the Esophagus

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