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C-2274 - Emergent esophageal conditions. The radiologist's view.

L. Cabanzo Campos1, C. Hernández Giraldo1, E. Castellà Fierro1, S. Quiroga Gómez1, X. Guri2, D. De Bonadona1, J. Andreu1, S. Castro-Boix1; 1 Barcelona/ES 2 BARCELONA/ES Type: Educational Exhibit
Area of Interests: Stomach (incl. Esophagus), Gastrointestinal tract, Emergency
Imaging Techniques: CT, CT-High Resolution
Procedures: Contrast agent-intravenous, Decision analysis, Contrast agent-oral
Special Focuses: Foreign bodies, Acute, Pathology
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Learning objectives: To analyze the clinical and radiological features of esophageal emergencies, about a different cases seen in the emergency department of our hospital.

Background: Normal esophageal anatomy. The esophagus spans approximately 25-30 cm from the lower border of the cricoid cartilage to the gastroesoph­ageal junction. Usually, it descends along the left of midline in the neck then deviates to the right throughout most of its thoracic course. It returns to the le[...]

Findings and procedure details: The essential attribute in the diagnosis of esophageal emergencies are a high index of suspicion. Contrast esophagogram was frequently used as initial imaging modality. However, this technique carries a 10% to 38% false negative rate, possibly secondary to inflammatory edema at the site of the inj[...]

Conclusion: So it is important to make a good clinical and radiological characterization and correlation of this pathologies. 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 t[...]

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References: Young, A. et al, “CT Features of Esophageal Emergencies”, RadioGraphics, 2008;28:6,1541-1553. White, C. et al , “Esophageal perforation: CT findings”, AJR, 1993;160:4,767-770.   Ba-Ssalamah, A. et al, “Dedicated multi-detector CT of the esophagus: spectrum of diseases”, Abdom Imaging (2009) 3[...]

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