Esophageal injury following blunt thoracic trauma. A case report and review of the literature

被引:0
作者
Torba, M. [1 ]
Baumbach, S. F. [2 ]
Gjata, A. [3 ]
Buci, S. [1 ]
Faber, E. [1 ]
Subashi, K. [1 ]
机构
[1] Univ Cent Mil Hosp, Natl Trauma Ctr, Trauma Surg Unit, Tirana, Albania
[2] Munich Univ Hosp LMU, Dept Trauma Surg, Munich, Germany
[3] Uhc Mother Teresa, Dept Surg, Tirana, Albania
来源
UNFALLCHIRURG | 2012年 / 115卷 / 12期
关键词
Thoracic trauma; blunt; Traffic accident; Esophageal injury; Retrosternal pain; CONSECUTIVE PATIENTS; SURGICAL-TREATMENT; PERFORATION; MANAGEMENT; RUPTURE;
D O I
10.1007/s00113-012-2256-2
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The aim of this article was to raise the awareness of the difficulties physicians face in the diagnosis and treatment of esophageal perforation following blunt thoracic trauma. We present a case of esophagus perforation following blunt chest trauma in the course of a motorcycle accident. Within 24 h the patient was admitted to the University hospital, and presented with progressive pain, subfebrile temperature, leukocytosis and pneumomediastinum. Emergency surgery revealed extensive esophageal lesions. A two-stage surgical approach was chosen with initial resection and temporary closure of the esophagus. After 2 months the integrity of the esophagus could be restored without complications.
引用
收藏
页码:1123 / 1125
页数:3
相关论文
共 10 条
[1]   DIAGNOSIS AND RECOMMENDED MANAGEMENT OF ESOPHAGEAL-PERFORATION AND RUPTURE [J].
BLADERGROEN, MR ;
LOWE, JE ;
POSTLETHWAIT, RW .
ANNALS OF THORACIC SURGERY, 1986, 42 (03) :235-239
[2]  
Green J, 2006, GUIDELINES COMPLICAT
[3]   Spontaneous rupture of the oesophagus [J].
Griffin, S. M. ;
Lamb, P. J. ;
Shenfine, J. ;
Richardson, D. L. ;
Karat, D. ;
Hayes, N. .
BRITISH JOURNAL OF SURGERY, 2008, 95 (09) :1115-1120
[4]   Thirty-four cases of esophageal perforation: the experience of a district general hospital in the UK [J].
Griffiths, E. A. ;
Yap, N. ;
Poulter, J. ;
Hendrickse, M. T. ;
Khurshid, M. .
DISEASES OF THE ESOPHAGUS, 2009, 22 (07) :616-625
[5]   Personal management of 57 consecutive patients with esophageal perforation [J].
Gupta, NM ;
Kaman, L .
AMERICAN JOURNAL OF SURGERY, 2004, 187 (01) :58-63
[6]   Esophageal perforation in South of Sweden: Results of surgical treatment in 125 consecutive patients [J].
Hermansson, Michael ;
Johansson, Jan ;
Gudbjartsson, Tomas ;
Hambreus, Goran ;
Joensson, Per ;
Lillo-Gil, Ramon ;
Smedh, Ulrika ;
Zilling, Thomas .
BMC SURGERY, 2010, 10
[7]   Sealing of esophageal perforation or ruptures with expandable metallic stents: A prospective controlled study on treatment efficacy and limitations [J].
Johnsson, E ;
Lundell, L ;
Liedman, B .
DISEASES OF THE ESOPHAGUS, 2005, 18 (04) :262-266
[8]   Surgical treatment of oesophageal perforation [J].
Kiss, J. .
BRITISH JOURNAL OF SURGERY, 2008, 95 (07) :805-806
[9]   Evolving Management Strategies in Esophageal Perforation: Surgeons Using Nonoperative Techniques to Improve Outcomes [J].
Kuppusamy, Madhan Kumar ;
Hubka, Michal ;
Felisky, Chance D. ;
Carrott, Philip ;
Kline, Elizabeth M. ;
Koehler, Richard P. ;
Low, Donald E. .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2011, 213 (01) :164-171
[10]  
Peitzman AB, 2007, TRAUMA MANUAL TRAUMA, P209