K22: Other diseases of oesophagus

K22.3: Perforation of oesophagus

The oesophagus or gullet connects the mouth with the stomach. It is a muscular tube. The muscles in the oesophagus move food into the stomach.

The gullet can tear or even tear completely in two at one site. This can result in bleeding and you may spit or vomit blood. You may also have severe pain or shortness of breath. In addition, you may become unconscious. If the gullet has a small tear or is torn in two, air, liquids and food from the gullet gets into the ribcage. The ribcage can thus become very severely inflamed and pathogens may get into the ribcage. This can be life-threatening. Air may also accumulate in your ribcage or under the skin. Air does not belong in these sites.

There are various reasons for the gullet to have a small tear or be torn in two. For example, it may happen suddenly and without prior symptoms if you have severe vomiting. The gullet may also tear if it was damaged by a severe inflammation or new tissue.