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Perforación esofágica - Symptom

Nombres alternativos

Perforación del esófago

Síntomas:

Al principio, el síntoma principal es el dolor.

Los pacientes con una perforación en la porción media o en la parte más baja del esófago pueden tener dificultad para la deglución, dolor torácico y dificultad para respirar.

Pruebas y exámenes:

Los signos abarcan:

Los pacientes con una perforación en la parte superior del esófago pueden tener dolor o rigidez en el cuello y burbujas de aire por debajo de la piel.

Una radiografía del tórax puede revelar la presencia de aire en los tejidos blandos del pecho, líquido que se ha filtrado desde el esófago hacia el espacio alrededor de los pulmones o una atelectasia pulmonar.

Una tomografía computarizada del tórax puede mostrar un absceso en el pecho o un cáncer esofágico. Asimismo, una radiografía tomada después de beber un medio de contraste inofensivo puede ayudar a señalar la localización de la perforación.

  • Reviewed last on: 12/13/2010
  • George F. Lonstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Eckstein M, Henderson SO. Thoracic trauma. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier;2009:chap 42.

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