When is contrast-enhanced esophagography indicated in the evaluation of pneumothorax?

Updated: Apr 28, 2020
  • Author: Brian J Daley, MD, MBA, FACS, FCCP, CNSC; Chief Editor: Mary C Mancini, MD, PhD, MMM  more...
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Answer

If emesis or retching is the precipitating event for a pneumothorax, an esophagogram should be obtained to evaluate for Boerhaave syndrome (an esophageal tear), which has a high mortality rate. This is the study of choice in all cases of suspected esophageal perforation (ie, postendoscopy patients). Esophagoscopy could further be performed for esophageal perforations.


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