Idiopathic Esophageal Rupture Quiz
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Reviewed By:
Maxwell J. Nanes, DO (Emergency department)
Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |
Aiko Yoshioka, MD (Gastroenterology)
Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.
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Learn more about Idiopathic esophageal rupture
Content updated on Sep 20, 2022
What is idiopathic esophageal rupture?
Tearing of the esophageal (food pipe) walls without an apparent cause. Bacteria from the gut can leave the food pipe and enter the area around the heart and lungs, hence there is a high risk of severe infections.
Symptoms of idiopathic esophageal rupture
Vomited blood
Upper central abdominal pain
Chest pain that started after drinking and vomiting
Nausea or vomiting
Chest pain
Abdominal pain
Black, shiny stool
Feeling breathless
Questions your doctor may ask to check for idiopathic esophageal rupture
Your doctor may ask these questions to diagnose idiopathic esophageal rupture
Did you vomit blood?
Do you have pain in the pit of the stomach (top middle of the abdomen)?
Did your chest pain start when you vomited after drinking alcohol?
Do you have nausea or vomiting?
Do you have any chest pain?
Treatment for idiopathic esophageal rupture
This requires emergency medical care. Fasting is needed to prevent food and bacteria from leaking out of the tear, hence fluids are given through a needle in the vein. Antibiotics are also given through the needle to prevent life-threatening infections. Smaller tears can heal by themselves, however larger tears will require a scope(camera) procedure or chest surgery.
View the symptoms of Idiopathic esophageal rupture
Diseases related to Idiopathic esophageal rupture
References
Imai T, Tanaka Y, Adachi T, Suetsugu T, Fukada M, Tanahashi T, Matsui S, Imai H, Kato T, Matsuhashi N, Takahashi T, Yamaguchi K, Shiroko T, Yoshida K. Thoracoscopic subtotal esophagectomy via a right thoracic cavity approach to treat an intractable fistula after 20 months from onset of an idiopathic esophageal rupture: A case report. Asian J Endosc Surg. 2020 Jul;13(3):402-405. doi: 10.1111/ases.12736. Epub 2019 Jul 22. PMID: 31332934; PMCID: PMC7379975.
https://onlinelibrary.wiley.com/doi/10.1111/ases.12736
Reviewed By:
Maxwell J. Nanes, DO (Emergency department)
Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |
Aiko Yoshioka, MD (Gastroenterology)
Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.
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Seiji Kanazawa, MD, PHD
Obstetrics and gynecology (OBGYN)
National Center for Child Health and Development, Japan