See below: Perforated or ruptured esophagus is not common and can be very serious in some conditions. Sometimes it can happen after an endoscopy procedure, and sometimes after marked forceful vomiting. Sometimes surgery is needed, and sometimes it is treated with antibiotics. It needs urgent medical evaluation.
Answered 2/10/2015
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Perforated esophagus: Usually caused by vomiting, but can be caused by swallowing something sharp (like bone or nails/razors, etc). Infection can be limited to mediastinum (center of chest) or can involve either lung cavity. Usually requires emergency surgical repair. If not treated right away, can still be drained and allowed to heal. Can't eat until rupture repaired surgically and/or healed. Fed thru tube.
Answered 3/20/2014
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