--- title: Gastroesophageal Pathology: Perforation, Fistula, & Volvulus description: Cases of gastroesophageal pathology demonstrating a variety of perforations, fistulae, and volvulus. image: https://cme.vrad.com/hubfs/CME_Header_1200x628%20(13)-4.png --- 1 min read # Gastroesophageal Pathology: Perforation, Fistula, & Volvulus [![Picture of Benjamin W. Strong, MD](https://cme.vrad.com/hubfs/Imported_Blog_Media/Strong-Ben-03-19.png) Benjamin W. Strong, MD ](https://cme.vrad.com/author/benjamin-w-strong-md) : February 24, 2026 [Body](https://cme.vrad.com/tag/body) [ Back to CME Library](https://cme.vrad.com) ![Gastroesophageal Pathology: Perforation, Fistula, & Volvulus](https://cme.vrad.com/hubfs/CME_Header_1200x628%20(13)-4.png) 0.25 *AMA PRA Category 1 Credit™* Cost: Free Expires: 12/31/2028 ### [![Take the Course](https://no-cache.hubspot.com/cta/default/3454598/8e3b9000-81e7-4a1e-bcfe-fca758fad140.png)](https://cta-redirect.hubspot.com/cta/redirect/3454598/8e3b9000-81e7-4a1e-bcfe-fca758fad140) ### Course Overview Cases of gastroesophageal pathology demonstrating a variety of perforations, fistulae, and volvulus. ### Learning Objectives 1.  Understand the different imaging appearances distinguishing abrupt from progressive esophageal ruptures. 2.  Learn the appearance of esophageal fistulas to different mediastinal structures. 3.  Learn the most important diagnostic criteria for diagnosis of gastric volvulus.     For New Users If you haven't accessed the vRad Radiology Education platform before, you will be prompted to complete a one-time registration process which allows you to access this course, and all other free CME courses vRad offers. ### Audience and Claiming Credit This course has been designed for radiologists. A certificate awarding credit will be issued to participants who have reviewed the entire presentation and correctly answered the post-test question. ### Accreditation Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Minnesota Medical Association and vRad Radiology Education. The Minnesota Medical Association (MMA) is accredited by the ACCME to provide continuing medical education for physicians. The Minnesota Medical Association designated this online course review for a maximum of *0.5 **AMA PRA Category 1 Credit(s)**TM**. *Physicians should claim only the credit commensurate with the extent of their participation in the activity.   [![View Full CME Directory](https://no-cache.hubspot.com/cta/default/3454598/4beed700-8ca5-4ac4-9bb6-6f1b5af89694.png)](https://cta-redirect.hubspot.com/cta/redirect/3454598/4beed700-8ca5-4ac4-9bb6-6f1b5af89694)   Need Help? [education@vrad.com](mailto:education@vrad.com) ![CME logo (1)](https://cme.vrad.com/hs-fs/hubfs/CME%20logo%20(1).png?width=445&name=CME%20logo%20(1).png) Jointly provided by the Minnesota Medical Association and vRad Radiology Education - [Tweet](https://twitter.com/share) [ Back to CME Library](https://cme.vrad.com) [![CTA Extremity Pt. 2](https://cme.vrad.com/hubfs/cta%20extremity%20pt%202.png) ](https://cme.vrad.com/ctaextremity2) 1 min read #### [CTA Extremity Pt. 2](https://cme.vrad.com/ctaextremity2) [![Picture of Benjamin W. Strong, MD](https://cme.vrad.com/hs-fs/hubfs/Imported_Blog_Media/Strong-Ben-03-19.png?width=30&name=Strong-Ben-03-19.png) Benjamin W. Strong, MD](https://cme.vrad.com/author/benjamin-w-strong-md) : January 17, 2023 0.25 AMA PRA Category 1 Credit™ Cost: Free Expires: 12/31/2026 Course Overview Case... [Body](https://cme.vrad.com/tag/body) [Read More](https://cme.vrad.com/ctaextremity2) [![Emergency Pulmonary CT: Part 2](https://cme.vrad.com/hubfs/CME_Header_1200x628%20(5)-Dec-22-2025-06-01-34-3687-PM.png) ](https://cme.vrad.com/emergency-pulmonary-ct-part-2) 1 min read #### [Emergency Pulmonary CT: Part 2](https://cme.vrad.com/emergency-pulmonary-ct-part-2) [![Picture of Benjamin W. Strong, MD](https://cme.vrad.com/hs-fs/hubfs/Imported_Blog_Media/Strong-Ben-03-19.png?width=30&name=Strong-Ben-03-19.png) Benjamin W. Strong, MD](https://cme.vrad.com/author/benjamin-w-strong-md) : December 30, 2025 0.25 AMA PRA Category 1 Credit™ Cost: Free Expires: 12/31/2028 Course Overview A collection of... [Body](https://cme.vrad.com/tag/body) [Read More](https://cme.vrad.com/emergency-pulmonary-ct-part-2) [![Peripheral Vascular Trauma](https://cme.vrad.com/hubfs/CME_Header_1200x628%20(3)-Jul-07-2026-07-07-06-9756-PM.png) ](https://cme.vrad.com/peripheral-vascular-trauma) 1 min read #### [Peripheral Vascular Trauma](https://cme.vrad.com/peripheral-vascular-trauma) [![Picture of Ashish Khandelwal, MBBS, MD](https://cme.vrad.com/hs-fs/hubfs/Khandelwal.png?width=30&name=Khandelwal.png) Ashish Khandelwal, MBBS, MD](https://cme.vrad.com/author/ashish-khandelwal-mbbs-md) : July 7, 2026 0.5 AMA PRA Category 1 Credit™ Cost: Free Expires: 12/31/2027 Course Overview Presented by Ashish... 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