Esophageal injury


Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.
Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.
Esophagus anatomy and nomenclature based on two systems.

Clinical Features

Differential Diagnosis

Thoracic Trauma


Mediastinal air adjacent to the aorta and tracking cephalad adjacent to the left common carotid artery.
Gastrografin esophagram showing a leak into the left thoracic cavity.
Perforation of the esophagus seen on swallow study.
  • Initial study should be esophagogram with water-soluble contrast
    • If negative or ambiguous follow with barium contrast or flexible esophagoscopy



See Also