Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostics (Bi.N.D.), University of Palermo, Via del Vespro 129, 90127, Palermo, Italy.
Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, Palermo, Italy.
Emerg Radiol. 2021 Aug;28(4):845-856. doi: 10.1007/s10140-021-01918-1. Epub 2021 Mar 8.
Ingestion of caustic substances, whether accidental or for the purpose of suicide, can cause severe lesions of the lips, oral cavity, pharynx, upper gastrointestinal system, and upper airways. In particular, caustic agents could be responsible for severe esophageal injuries resulting in short- and long-term complications. Because of these important clinical implications, timely diagnosis and appropriate management are crucial. In the evaluation of esophageal injuries, thoraco-abdominal computed tomography (CT) is preferable to endoscopy as it avoids the risk of esophageal perforation and allows the evaluation of esophageal injuries as well as of the surrounding tissue. In this review, we report CT findings of esophageal injuries and possible related thoracic complications caused by caustic ingestion.
吞食腐蚀性物质，无论是意外还是自杀目的，都可能导致嘴唇、口腔、咽、上消化道系统和上呼吸道严重损伤。特别是腐蚀性物质可能导致严重的食管损伤，从而导致短期和长期并发症。鉴于这些重要的临床意义，及时诊断和适当处理至关重要。在评估食管损伤时，胸腹部 CT 优于内镜检查，因为它可以避免食管穿孔的风险，并可以评估食管损伤以及周围组织。在本综述中，我们报告了腐蚀性摄入引起的食管损伤和可能相关的胸部并发症的 CT 表现。
