What type of radiology is used to diagnose Boerhaave’s syndrome?

What type of radiology is used to diagnose Boerhaave’s syndrome?

Esophagram

A fluoroscopic X-ray with contrast dye (esophagram) is usually the first choice when your provider suspects Boerhaave’s syndrome because it's quick and noninvasive with a high level of accuracy. For this test, you’ll swallow a solution with a water-soluble contrast dye that will highlight the inside of your esophagus in the X-ray. If you have a tear, they’ll be able to see where the contrast dye leaks.

CT scan

A CT scan is an alternative choice if the esophagram won’t work for you, or if your healthcare provider needs to see the surrounding organs in more detail. It won’t show the exact location of the tear, but it can find small amounts of leaked contrast dye and air from your esophagus in the surrounding tissues. It’s also used to locate pockets of leaked fluids in your chest and abdominal cavities that will need to be drained.