Boerhaave syndrome other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamed Diab, MD [2]

Other Imaging Findings

• The diagnosis of esophageal perforationshould be confirmed by water-soluble contrast esophagram (Gastrograffin), which reveals the location and extent of extravasation of contrast material. If the water-soluble study is negative, a barium study should be performed for better definition.

• Barium esophagram can detect 60% of cervical perforations and 90% of intrathoracic perforations.

• Endoscopy is not commonly used to aid in diagnosis of Boerhaave syndrome.