TY - JOUR T1 - PLeural manifestations of perforation of the esophagus AU - WALLFIELD MJ Y1 - 1939/12/01 N1 - 10.1001/archpedi.1939.01990110125010 JO - American Journal of Diseases of Children SP - 1261 EP - 1264 VL - 58 IS - 6 N2 - Perforation of the esophagus in children, though infrequent, usually follows the accidental swallowing of almost any sort of object. Studies of foreign bodies in the air and the food passages1 showed that most of the objects were not food particles. Although spontaneous rupture of the esophagus may occur, it is extremely rare.2The diagnosis of perforation of the esophagus is often only inferred, even after careful endoscopic examination. Prudence demands that any mucosal injury be viewed with suspicion and that the patient be followed by frequent roentgen studies. Guthrie and Holland3 formulated some roentgen criteria for the presence of a foreign body or abrasion of the esophageal mucosa, namely, (1) "hold-up" of swallowed opaque material, usually associated with some regurgitation, and (2) division of the medium into two streams which reunite lower down. McGibbon and Mather4 noted the "hold-up" of a small piece of cotton wool SN - 0096-8994 M3 - doi: 10.1001/archpedi.1939.01990110125010 UR - http://dx.doi.org/10.1001/archpedi.1939.01990110125010 ER -