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EM Quick Hits 43 Pediatric Cannabis Poisoning, Esophageal Perforation, Brugada, Career Transitions in EM

Emergency Medicine Cases

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The Risks of Isophageal Perforation

Isophageal perforation is a full thickness tear of the mucosal and muscular layers of the isophagus. Bohrhopp syndrome only accounts for 15% of cases though, and the triad is present in less than 50%. Pausean is the most common presenting symptom, but it may not be chest pain.

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