Acute & emergency · UKMLA & AKT
Oesophageal perforation
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Oesophageal perforation is a life-threatening emergency - full-thickness breach of the oesophageal wall allowing luminal contents to leak into surrounding structures. The oesophagus lacks a serosa, so mediastinitis develops within hours. Mortality approximately doubles when treatment is delayed beyond 24 hours.
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