Esophageal Rupture and Tears in Emergency Medicine Differential Diagnoses

Updated: Nov 15, 2022
  • Author: Ugo Anthony Ezenkwele, MD, MPH; Chief Editor: Steven C Dronen, MD, FAAEM  more...
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Diagnostic Considerations

Important considerations

Even with a high index of suspicion, a negative water-soluble contrast study is not sufficient to rule out the diagnosis of esophageal tear.

Although evidence continues to accumulate regarding specific treatment approaches, this remains a rare condition and, as such, many suggestions are based on case series or personal experience.

Special concerns

Early diagnosis is crucial in Boerhaave syndrome. It is important to consider the possibility in any patient presenting with atypical chest or abdominal pain.

Differential Diagnoses