J Korean Soc Emerg Med.  2024 Feb;35(1):85-88.

Esophageal rupture worsened after chest tube insertion in an esophageal rupture patient who presented with pneumothorax

Affiliations
  • 1Department of Internal Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Republic of Korea
  • 2Department of Emergency Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Republic of Korea

Abstract

Spontaneous rupture of the esophagus wall is a rare, life-threatening condition, and the diagnosis of esophageal rupture is challenging as history and symptoms can be nonspecific. In some cases, chest radiography can reveal pneumothorax. We report a case of aggravated esophageal rupture after chest tube intubation in an esophageal rupture patient with pneumothorax. Interventionists should be aware that esophageal rupture may present as pneumothorax and that chest tube insertion can exacerbate esophageal rupture.

Keyword

Esophageal perforation; Pneumothorax; Chest tubes
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