esophageal perforation

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esophageal perforation

GI disease A defect in the esophagus where the lumen communicates with the thoracic cavity


of or pertaining to the esophagus.

esophageal achalasia
esophageal anomalies
very rare; include atresia, duplication, segmental aplasia, esophagorespiratory fistulae, diverticula, epithelial inclusion cysts.
esophageal atresia
congenital lack of continuity of the esophagus, commonly accompanied by tracheoesophageal fistula, and characterized by accumulations of mucus in the nasopharynx, gagging, vomiting when fed, cyanosis and dyspnea. Treatment is by surgical repair by esophageal anastomosis and division of the fistula.
esophageal distention
may result from acute or chronic obstruction of the esophagus, or from defective innervation. See also megaesophagus.
esophageal duplication
may be tubular and communicate with the effective esophagus, or cystic appearing as a cystic mass close to the functioning esophagus.
esophageal ectasia
esophageal enlargement
clinically visible enlargement as seen in esophageal diverticulum, stenosis, paralysis, cardial obstruction.
esophageal fibrosis
a cause of acquired megaesophagus; usually caused by trauma or spontaneous ulceration.
esophageal groove
see reticular groove.
esophageal groove lesion
includes granuloma, papilloma, foreign body lodgment; cause of obstructive bloat.
esophageal hyperkeratosis
hyperkeratotic thickening of the esophageal mucosa due usually to hypovitaminosis A or chlorinated naphthalene poisoning.
esophageal inflammation
esophageal motility disorders
esophageal neoplasm
very rare except for papilloma and fibropapilloma; causes chronic esophageal obstruction.
esophageal obstruction
acute obstruction is manifested by inability to swallow, regurgitation of saliva, food and water through the nose and much discomfort expressed by retching movements and pawing at the throat. Ruminants develop ruminal tympany. Chronic obstruction shows the same syndrome but with a gradual development and a tendency to develop aspiration pneumonia.
Enlarge picture
Palpating an esophageal obstruction in a cow. By permission from Blowey RW, Weaver AD, Diseases and Disorders of Cattle, Mosby, 1997
esophageal osteosarcoma
occurs in dogs in association with the parasite Spirocerca lupi.
esophageal papilloma
a cause of obstructive bloat.
esophageal paralysis
causes esophageal obstruction.
esophageal patching
see patch graft.
esophageal perforation
causes local cellulitis and compression-obstruction of esophagus.
esophageal pulsion diverticulum
a diverticulum that pushes outwards causing pressure on surrounding organs and tissues.
esophageal segmental aplasia
causes esophageal obstruction in neonates.
esophageal stenosis, esophageal stricture
causes esophageal obstruction; may be partial, permitting passage of liquids.
esophageal tube
see nasogastric tube.
esophageal ulcer
usually associated with pressure necrosis due to prolonged obstruction and injury by a solid foreign body or, rarely equine dysautonomia or Gasterophilus spp. infestation.
esophageal varices
distended veins at the gastric cardia causing dysphagia.


a hole or break in the containing walls or membranes of an organ or structure of the body. Perforation occurs when erosion, infection or other factors create a weak spot in the organ and internal pressure causes a rupture. It also may result from a deep penetrating wound caused by trauma.

bladder perforation
usually the result of obstructive urolithiasis with eventual leakage of urine into the peritoneal cavity. See also congenital urinary bladder rupture.
eardrum perforation
occurs when an infectious process erodes the tympanic membrane or leads to increased pressure in the middle ear.
esophageal perforation
causes local cellulitis and obstruction of the esophagus.
gallbladder perforation
sometimes occurs as a complication of cholecystitis and gallstones. When the gallbladder is infected, necrosis may progress to the point of destroying the wall so that the bile spills out into the abdominal cavity causing biliary peritonitis.
intestinal perforation
a complication of ulcerative colitis (see colitis), intestinal obstruction, ulceration and other disorders in which there is inflammation of the intestinal wall or obstruction of the intestinal lumen.
ulcer perforation
a complication of duodenal and gastric ulcers. It requires immediate surgical correction to prevent hemorrhage, shock and peritonitis.
urethral perforation
is usually a result of obstructive urolithiasis; urine collects in a ventral subcutaneous site.
References in periodicals archive ?
Spontaneous circumferential intramural esophageal dissection complicated with esophageal perforation andesophageal-pleural fistula: a case report and literature review.
Esophageal perforation may also be diagnosed by the presence of food particles, pH less than 6.
2) A pleural effusion--particularly on the patient's left side--should raise concern for esophageal perforation.
Fadoo F, Ruiz DE, Dawn SK, Webb WR, Gotway MB (2004) Helical CT esophagography for the evaluation of suspected esophageal perforation or rupture.
Recognition and treatment of esophageal perforations.
Chemotherapy-induced vomiting can lead to Mallory-Weiss tears, intramural hematomas, and esophageal perforation.
Reinforced primary repair of thoracic esophageal perforation.
Screening 10 million people by upper endoscopy could result in about 10,000 major complications, including esophageal perforation, cardiovascular collapse, or death.
There have been no device related serious adverse events such as stenosis, stroke or esophageal perforation.
Patient history of allergic reaction to barium sulfate, suspected esophageal perforation and patient inability to cooperate with instructions are contraindications for barium swallow and MBS examination.