• George C. Velmahos
  • Nahid Hamoui
  • Peter F. Crookes
  • Demetrios Demetriades


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)


  3. (C)

    Contrast swallow

  4. (D)

    Chest tube insertion

  5. (E)




Esophageal Perforation Esophageal Injury Food Impaction Foreign Body Ingestion Esophageal Rupture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • George C. Velmahos
    • 1
  • Nahid Hamoui
    • 2
  • Peter F. Crookes
    • 2
  • Demetrios Demetriades
    • 3
  1. 1.Department of SurgeryHarvard Medical School/Massachusetts General HospitalBostonUSA
  2. 2.Department of General SurgeryUniversity of Southern CaliforniaLos AngelesUSA
  3. 3.Department of Surgery, Division of Trauma and Surgical Critical CareUniversity of Southern CaliforniaLos AngelesUSA

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