Idiopathic Esophageal Rupture Quiz

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Reviewed By:

Maxwell J. Nanes, DO

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

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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People with similar symptoms also use Ubie's symptom checker to find possible causes

  • Black poop

  • Stool is black

  • Black stools

  • Air under the skin on the chest

  • Blood in vomit after subsequent vomiting

  • Tarry stools

  • Stool is black like hair

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Learn more about Idiopathic Esophageal Rupture

Content updated on Jan 19, 2024

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.

Symptoms of idiopathic esophageal rupture

  • Black, shiny stool

  • Vomited blood

  • Upper central abdominal pain

  • Subcutaneous crepitus

  • Chest pain that started after drinking and vomiting

  • Nausea or vomiting

  • Chest pain

  • Feeling breathless

Questions your doctor may ask to check for idiopathic esophageal rupture

  • Are your stools black and shiny like hair?

  • Did you vomit blood?

  • Do you have stomach pain in the middle of your abdomen?

  • Did your chest pain start after vomiting from alcohol?

  • Are you feeling nauseous or have you been vomiting?

Treatment for 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.

View the symptoms of 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

User testimonials

Reviewed By:

Maxwell J. Nanes, DO

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

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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