Idiopathic Esophageal Rupture Quiz
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Pain in the middle of the upper stomach
Vomiting blood
Have nausea
Have chest pain
Stomachache
I have back pain
Shortness of breath
Not seeing your symptoms? No worries!
What is Idiopathic Esophageal Rupture?
Tearing of the esophageal (food pipe) walls without a clear cause. Bacteria from the gut can leave the food pipe and enter the area around the heart and lungs, so there is a high risk of severe infections.
Typical Symptoms of Idiopathic Esophageal Rupture
- Vomiting blood
- Black, shiny stool
- Chest pain that started after drinking and vomiting
- Feels crackly like Rice Krispies when touching my chest or neck
- Pain in the upper abdomen
- After vomiting for a few episodes, there is now blood in my vomit
- Chest pain
- Nausea or vomiting
Diagnostic Questions for Idiopathic Esophageal Rupture
Your doctor may ask these questions to check for this disease:
- Have you vomited blood?
- Have you had black, shiny stools?
- Did your chest pain start after vomiting from alcohol?
- When you touch your chest or neck, does it feel crackly like Rice Krispies?
- Do you feel pain in your upper abdomen?
Treatment of Idiopathic Esophageal Rupture
This requires emergency medical care. Fasting is necessary to prevent food and bacteria from leaking out of the tear, so 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, but larger tears will require a scope (camera) procedure or chest surgery.
Reviewed By:
Maxwell J. Nanes, DO (Emergency Medicine)
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.
Content updated on Feb 19, 2025
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Blood vomit after repeatedly throwing up
- Black poop
- Blood in vomit after vomiting the second time
- Blood in vomit after continuous bouts of vomitting
- Chest pain
- Abdominal pain
- Blood in vomit after vomiting a few times
- Vomiting blood after consuming a large amount of alcohol
- Tarry stools
- Vomiting blood after drinking large amounts of liquor
- Vomit blood
- Air under skin
- Black shiny stool
- Hematemesis
- Coal black stool
See full list
Symptoms Related to Idiopathic Esophageal Rupture
Diseases Related to Idiopathic Esophageal Rupture
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Garas G, Zarogoulidis P, Efthymiou A, Athanasiou T, Tsakiridis K, Mpaka S, Zacharakis E (2015). Spontaneous esophageal rupture as the underlying cause of pneumothorax: early recognition is crucial. Journal of thoracic disease.
https://pubmed.ncbi.nlm.nih.gov/25589955/Svider PF, Pashkova AA, Vidal GP, Mauro AC, Eloy JA, Chokshi RJ (2013). Esophageal perforation and rupture: a comprehensive medicolegal examination of 59 jury verdicts and settlements. Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract.
https://pubmed.ncbi.nlm.nih.gov/23797884/Derr C, Drake JM (2012). Esophageal rupture diagnosed with bedside ultrasound. The American journal of emergency medicine.
https://pubmed.ncbi.nlm.nih.gov/22386338/