Which of the following statements about spontaneous esophageal perforations is INCORRECT?

Prepare for the SAEM M4 Test with our comprehensive resources. Explore detailed flashcards, multiple-choice questions, and insightful explanations. Enhance your readiness confidently!

The statement that over 90% of spontaneous esophageal perforations occur in the proximal esophagus is incorrect. In fact, spontaneous esophageal perforations are most commonly found in the distal esophagus, particularly around the area where the esophagus meets the stomach. This misunderstanding may arise because while the proximal esophagus is certainly involved in various types of perforations, spontaneous perforations more frequently occur at the lower end due to increased intraluminal pressure or areas of weakness.

The other statements are indeed accurate reflections of what is known about esophageal perforations. It is true that perforations can arise from activities that increase intra-abdominal pressure, such as forceful vomiting or heavy lifting. Moreover, a significant majority of esophageal perforations are iatrogenic in nature, often resulting from medical procedures like endoscopy, dilation, or sclerotherapy. Additionally, it is well documented that perforations can occur due to the placement of medical devices such as nasogastric tubes or during certain intubation procedures. This context provides a clearer understanding of the correct classification and locations of esophageal perforations.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy