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CT Features of Esophageal Emergencies¹

¹ From the Mallinckrodt Institute of Radiology, Washington University School of Medicine, Barnes Jewish Hospital, 510 S Kingshighway Blvd, c/o Staff Library, Campus Box 81, St. Louis, MO 63110 (C.A.Y., C.O.M., S.B.); and Department of Radiology, University of Texas Health Science Center, San Antonio, Tex (S.R.P.). Recipient of a Certificate of Merit award for an education exhibit at the 2007 RSNA Annual Meeting. Received March 12, 2008; revision requested April 10; final revision received June 16; accepted June 18. All authors have no financial relationships to disclose. Address correspondence to C.A.Y. (e-mail: youngca{at}mir.wustl.edu).

Esophageal emergencies—primarily, perforation and conditions with the potential to progress to perforation—result in significant morbidity and mortality if they are not recognized and treated promptly. The spectrum of esophageal emergencies includes esophagitis, foreign body impaction, and traumatic esophageal injury. Because there is considerable variability in the clinical manifestations of emergent esophageal conditions, computed tomography (CT) may play both primary and complementary roles in their diagnosis and evaluation. An awareness of the CT findings associated with the spectrum of acute esophageal disease facilitates the accurate and prompt diagnosis of esophageal emergencies and thereby contributes to a more successful outcome.

© RSNA, 2008