CTICasesPneumatic esophageal rupture from air compressor injury
Imaging findings
Chest radiograph and CT show extensive pneumomediastinum and subcutaneous emphysema tracking into the neck, along with periesophageal gas in the lower mediastinum. The patient had placed an air compressor nozzle in/near his mouth, causing a large esophageal rupture.
Key takeaways
Inhalation of high-pressure air from a compressor nozzle can lead to a pneumatic esophageal rupture. This is a devastating injury that causes massive pneumomediastinum and requires urgent surgical intervention.
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