Idiopathic Esophageal Rupture Quiz

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Medically Reviewed By:

Maxwell J. Nanes

Maxwell J. Nanes, DO

Emergency department

Aiko Yoshioka

Aiko Yoshioka, MD


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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

  • Chest pain

  • Nausea or vomiting

  • 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 any chest pain?

  • Do you have nausea or vomiting?

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


  • 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.

Medically Reviewed By:

Maxwell J. Nanes

Maxwell J. Nanes, DO

Emergency department

Aiko Yoshioka

Aiko Yoshioka, MD


From our team of 50+ doctors

Just 3 minutes.
Developed by doctors.

Ubie is supervised by 50+ medical experts worldwide

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