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  • Title: [Spontaneous esophageal rupture after gastrointestinal examination using barium].
    Author: Masuda R, Tanaka I, Furuhata Y, Inoue M, Isoyama T.
    Journal: Jpn J Thorac Cardiovasc Surg; 1998 Nov; 46(11):1182-5. PubMed ID: 9884574.
    Abstract:
    We experienced a case of spontaneous rupture of the esophagus after gastrointestinal examination using barium. A 48-year-old male experienced severe chest pain after vomiting following gastrointestinal examination. Chest X-ray revealed a right pneumothorax and pleural effusion by barium. We diagnosed spontaneous rupture of the esophagus and performed right thoracotomy 6 hours after onset of symptoms. At 10 cm above the diaphragm, there was a vertical perforation 3 cm in length. Following saline lavage, the ruptured esophageal wall was directly closed by the layer to layer method. The post operative course was uneventful and the patient was discharged 3 weeks after surgery. Cases of spontaneous rupture of the esophagus into the right thoracic cavity induced by gastrointestinal examination are extremely rare.
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