CTICasesEsophageal Intramural Dissection from Food Bolus Impaction
Imaging findings
CT chest shows extensive intramural gas tracking along the wall of the esophagus, with a full-thickness tear of the esophageal wall and a large, impacted food bolus (bratwurst) in the distal thoracic esophagus.
Key takeaways
Esophageal intramural dissection (or mucosal tear) can occur secondary to food bolus impaction (Boerhaave-like variant). The increased pressure causes air and fluid to dissect within the esophageal wall, presenting with acute chest pain mimicking aortic dissection. Endoscopic removal and stenting are required.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Renocaval Arteriovenous FistulaVascular
- Superior Vena Cava AneurysmVascular
- Subtle Pulmonary Nodule on Lateral Chest RadiographOther
- Rasmussen Aneurysm in COVID-19 associated MucormycosisInfection
- Shifting Lobar Atelectasis and Pneumothorax ex VacuoOther
- HHV-8 Related Multicentric Castleman Disease, Kaposi Sarcoma, and PELNeoplastic
- Diffuse Large B-Cell Lymphoma mimicking IgG4-Related DiseaseNeoplastic
- Intrapericardial ParagangliomaNeoplastic
See all cases from October 1, 2021 →