gastrointestinal disorders
Esophageal Rupture
Symptoms and Signs of Esophageal Rupture
Symptoms of esophageal rupture include chest and abdominal pain, fever, vomiting, hematemesis, and shock. Subcutaneous emphysema is palpable in about 30% of patients. Mediastinal crunch (Hamman sign), a crackling sound synchronous with the heartbeat, may be present. 