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Acute Care Surgery pp 314–331Cite as

Esophagus

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Abstract

A college student presents to the emergency department after developing chest pain immediately after an episode of emesis. The patient is diaphoretic but hemodynamically stable chest. Chest x-ray demonstrates a pneumomediastinum. What would be the management plan at this point?

  1. (A)

    Emergency thoracotomy

  2. (B)

    Esophagogastroduodenoscopy

  3. (C)

    Contrast swallow

  4. (D)

    Chest tube insertion

  5. (E)

    Celiotomy

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Author information

Authors and Affiliations

  1. Department of Surgery, Harvard Medical School/Massachusetts General Hospital, Boston, MA, USA

    George C. Velmahos MD, PhD, MSEd

  2. Department of General Surgery, University of Southern California, Los Angeles, CA, USA

    Nahid Hamoui MD & Peter F. Crookes MD

  3. Department of Surgery, Division of Trauma and Surgical Critical Care, University of Southern California, Los Angeles, CA, USA

    Demetrios Demetriades MD, PhD

Authors
  1. George C. Velmahos MD, PhD, MSEd
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  2. Nahid Hamoui MD
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  3. Peter F. Crookes MD
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  4. Demetrios Demetriades MD, PhD
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Editor information

Editors and Affiliations

  1. Department of Surgery, Eastern Virginia Medical School, Norfolk, VA, USA

    L. D. Britt MD, MPH (Brickhouse Professor of Surgery and Chairman) (Brickhouse Professor of Surgery and Chairman)

  2. Department of Surgery, Oregon Health Sciences University, Portland, OR, USA

    Donald D. Trunkey MD (Professor) (Professor)

  3. Emory University School of Medicine, Grady Memorial Hospital, Atlanta, GA, USA

    David V. Feliciano MD (Professor of Surgery, Chief of Surgery) (Professor of Surgery, Chief of Surgery)

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Velmahos, G.C., Hamoui, N., Crookes, P.F., Demetriades, D. (2007). Esophagus. In: Britt, L.D., Trunkey, D.D., Feliciano, D.V. (eds) Acute Care Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-69012-4_21

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