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blunt esophageal trauma

Benjamin Nicholson, Harinder Dhindsa, Louis Seay
BACKGROUND: Blunt injuries to the cervical trachea remain rare but present unique and challenging clinical scenarios for prehospital providers. These injuries depend on prehospital providers either definitively securing the injured airway or bridging the patient to a treatment facility that can mobilize the necessary resources. CASE SUMMARY: The case presented here involves a clothesline injury to a pediatric patient that resulted in complete tracheal transection and partial esophageal transection...
October 4, 2016: Prehospital Emergency Care
Edward J Richer, Ramon Sanchez
BACKGROUND/PURPOSE: Spontaneous pneumomediastinum is an infrequent condition in pediatric patients. Presenting symptoms include chest pain, dysphagia, or vomiting, without initiating event. Patients may undergo esophagram because of concern for esophageal perforation as the source for pneumomediastinum, however, abnormalities are rarely demonstrated. The objective of this study is to identify whether esophagrams performed on pediatric patients for spontaneous pneumomediastinum are warranted...
June 6, 2016: Journal of Pediatric Surgery
André Beer-Furlan, Roger S Brock, Lucas S Mendes, Eduardo G Mutarelli
No abstract text is available yet for this article.
March 2, 2016: Acta Neurologica Belgica
Tatsuro Sassa, Ken-Ichiro Kobayashi, Masayuki Ota, Takuya Washino, Mayu Hikone, Naoya Sakamoto, Sentaro Iwabuchi, Mizuto Otsuji, Kenji Ohnishi
Most mediastinal abscesses result from infections after thoracotomy, esophageal perforation or pene- trating chest trauma. This disease is rarely caused by closed blunt chest trauma. All previously reported such cases after closed blunt chest trauma presented with hematoma and sternal osteomyelitis resulting from sternal fracture. Here we report a 15-year-old sumo wrestler who presented with an anterior mediastinal abscess without any mediastinal fracture. The mediastinal abscess resulted from the hematogenous spread of Staphylococcus aureus to a hematoma that might have been caused by a closed blunt chest trauma incurred during sumo wrestling exercises...
2015: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
Alex Cedeño, Karla Echeverría, Jan Vázquez, Aura Delgado, Pablo Rodríguez-Ortiz
INTRODUCTION: Esophageal rupture caused by blunt chest trauma is a very rare entity, with an incidence of 0.001%. Eighty two percent of the esophageal perforation secondary to blunt chest trauma occur above the level of the carina, with the lowest reported incidence in the intrathoracic region distal to the carina. PRESENTATION OF CASE: We report on the case of a 48-year-old Hispanic male with intrathoracic esophageal rupture. Exploration revealed a right lateral, mid esophageal, longitudinal 1...
2015: International Journal of Surgery Case Reports
Konstantinos Chouliaras, Elias Bench, Peep Talving, Aaron Strumwasser, Elizabeth Benjamin, Lydia Lam, Kenji Inaba, Demetrios Demetriades
BACKGROUND: Incidental pneumomediastinum is a common radiologic finding following blunt thoracic injury; however, the clinical significance of pneumomediastinum on screening imaging is poorly defined (Curr Probl Surg. 2004;41(3):211-380; Injury. 2010;41(1):40-43). The purpose of this study was to define the incidence of aerodigestive injuries in patients with pneumomediastinum after blunt thoracic and neck injury. METHODS: After institutional review board approval was obtained, a retrospective review was performed of all patients admitted to Los Angeles County + University of Southern California Medical Center with blunt neck and/or thoracic injuries between January 2007 and December 2012...
August 2015: Journal of Trauma and Acute Care Surgery
Jin Hui Paik, Jeong-seok Choi, Seung Baik Han, Hyun Min Jung, Ji Hye Kim
This study aimed to report the survival of a rare case of complete tracheal transection followed by blunt neck trauma. A 66-year-old man was presented in the emergency room after a motorcycle accident in which a rope was wrapped around his neck. Although alert, he was in respiratory distress. A computed tomographic scan showed transection of the cervical trachea. Emergency neck exploration revealed that the tracheal laceration had been cut from the tracheal anterior third ring to the posterior first ring and the anterior esophageal wall had ruptured...
November 2014: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Nese C Oray, Semra Sivrikaya, Basak Bayram, Tufan Egeli, Oguz Dicle
Traumatic perforation of the esophagus due to blunt trauma is a rare thoracic emergency. The most common causes of esophageal perforation are iatrogenic, and the upper cervical esophageal region is the most often injured. Diagnosis is frequently determined late, and mortality is therefore high. This case report presents a young woman who was admitted to the emergency department (ED) with esophageal perforation after having fallen from a high elevation. Esophageal perforation was diagnosed via thoracoabdominal tomography with ingestion of oral contrast...
September 2014: Western Journal of Emergency Medicine
Christian Grønhøj Larsen, Bodil Brandt
INTRODUCTION: Traumatic oesophageal perforation is a rare, life-threatening emergency that requires early recognition and prompt surgical management. PRESENTATION OF CASE: We present an unusual case of a patient on warfarin treatment developed an intramural oesophageal haematoma following blunt thoracic trauma leading to perforation on the 18th day. DISCUSSION: In treatment of oesophageal haematoma in patients on vitamin-K antagonists, strict control of the International Normalized Ratio (INR) is essential along with total parenteral nutrition therapy and refrainment through nasogastric tubes...
2014: International Journal of Surgery Case Reports
Mohammed Muneer, Husham Abdelrahman, Ayman El-Menyar, Ibrahim Afifi, Ammar Al-Hassani, Ammar AlMadani, Rifat Latifi, Hassan Al-Thani
INTRODUCTION: Blunt esophageal injuries secondary to external air compression of anterior chest and abdomen complicated with esophageal perforation are uncommon events associated with worse outcomes. PRESENTATION OF CASE: We reported a rare case of esophageal perforation following an external air-compression injury along with the relevant review of literatures. The patient presented with chest pain and shortness of breath and was managed with tube thoracostomy, followed by thoracotomy and eventually with temporary endoscopic stenting...
2014: International Journal of Surgery Case Reports
Jessica Kathleen Reynolds, Benjamin W Dart, Robert A Maxwell, David R Barnes
No abstract text is available yet for this article.
August 2014: American Surgeon
Michelle Xia, Stephen Pustilnik
Boerhaave syndrome is an uncommon condition with high rate of mortality that is higher than 90%. The syndrome has classically been associated with sudden severe chest pain after severe emesis or retching. However, traumatic esophageal rupture secondary to blunt injury has been occasionally reported in the literature, usually from unintentional injury. We report the first case of Boerhaave syndrome resulting from homicidally inflicted blunt trauma to the abdomen, which is a rare finding that can be easily missed during an autopsy...
September 2014: American Journal of Forensic Medicine and Pathology
Husham Abdulrahman, Ahmad Ajaj, Adam Shunni, Ayman El-Menyar, Amer Chaikhouni, Hassan Al-Thani, Rifat Latifi
INTRODUCTION: Blunt esophageal injury is extremely rare event. However, it is a potential morbid injury unless managed early. PRESENTATION OF CASE: We report a rare case of blunt esophageal injury for a 28-year old male who presented with history of fall of heavy object over the right side of the chest. Diagnostic work up including chest X-ray, computerized tomography scans and gastrografin esophagogram revealed lower esophageal rupture. Right mini-thoracotomy with esophageal repair was performed...
2014: International Journal of Surgery Case Reports
Arjan Bastiaan van As, Rodgers Manganyi, Andre Brooks
INTRODUCTION: Thoracic injuries continue to be a leading cause of childhood trauma, despite the government's efforts to curb the scourge of this problem. Our review focuses on the incidence, etiology, and management of thoracic trauma in the pediatric population with reference to the recent experience at our institution in a developing country. METHODS: For the literature review, the National Library of Medicine's PubMed database was searched for the following terms: "pediatric," "chest trauma," "hemothorax," "hemopneumothorax," "pneumothorax," "diaphragmatic," "esophageal," and "mediastinal injury...
December 2013: European Journal of Pediatric Surgery
Sonali Arora, Auras R Atreya, Srikanth C Penumetsa, William L Hiser
A cardio-embolic stroke as a sequela of remote blunt chest trauma is a rare clinical presentation. Blunt chest trauma can cause various acute cardiac complications like arrhythmias, cardiac contusion etc. However, delayed consequences such as left ventricular thrombus resulting in thromboembolic phenomena are reported infrequently. A 30-year-old healthy man presented to an outside facility with transient neurological deficits. An MRI brain showed lesions suggestive of embolic etiology. A trans-thoracic echocardiogram (TTE) showed a 1...
March 2013: Journal of Cardiovascular Disease Research
Steven D Schaefer
OBJECTIVES/HYPOTHESIS: Improve the care of acute external laryngeal trauma by reviewing controversies and the evolution of treatment. DATA SOURCE: Internet-based search engines, civilian and military databases, and manual search of references from these sources over the past 90 years. REVIEW METHODS: Utilizing the above-mentioned sources, electronic and manual searches of primary topics such as laryngeal trauma or injury, emergency tracheotomy, airway trauma, intubation versus tracheotomy, cricothyrotomy, esophageal trauma, and emergent management of airway injuries in civilian and combat zones...
January 2014: Laryngoscope
Michael Goodman, Jaime Lewis, Julian Guitron, Michael Reed, Timothy Pritts, Sandra Starnes
BACKGROUND: Operative intervention for thoracic trauma typically requires thoracotomy. We hypothesized that thoracoscopy may be safely and effectively utilized for the acute management of thoracic injuries. MATERIALS AND METHODS: The Trauma Registry of a Level I trauma center was queried from 1999 through 2010 for all video-assisted thoracic procedures within 24 h of admission. Data collected included initial vital signs, operative indication, intraoperative course, and postoperative outcome...
April 2013: Journal of Emergencies, Trauma, and Shock
Ibrahim Uygun, Selcuk Otcu, Bahattin Aydogdu, Mehmet Hanifi Okur, Mehmet Serif Arslan
Total avulsion and transection of the esophagus at the esophagogastric junction are very rare after blunt trauma, and their management is challenging. Here, we present the case of a boy with this injury. To date, only two cases have been reported in children. One was treated successfully and the other died. The initial emergency operation should aim to save the life and native esophagus. Therefore, a primary or early thoracal end esophagostomy with gastrostomy should be performed, while primary repair should not be...
2013: Case Reports in Surgery
Arthur P Delos Reyes, Christopher Clancy, Joseph Lach, William A Olorunto, Mallory Williams
INTRODUCTION: Esophageal perforation in the setting of blunt trauma is rare, and diagnosis can be difficult due to atypical signs and symptoms accompanied by distracting injury. PRESENTATION OF CASE: We present a case of esophageal perforation resulting from a fall from height. Unexplained air in the soft tissues planes posterior to the esophagus as well as subcutaneous emphysema in the absence of a pneumothorax on CT aroused clinical suspicions of an injury to the aerodigestive tract...
2013: International Journal of Surgery Case Reports
Gideon A Blecher, Robert Bohmer
Hepatoportal arteriovenous fistulae are a rare cause of portal hypertension, which can have significant clinical manifestations. They have multiple etiologies, one of which includes hepatic trauma. We present a case of hepatoportal fistula presenting with bleeding esophageal varices in an 83-year-old man. The exact cause of fistula in this case is not entirely clear; however, hepatic trauma was noted in the patients' history, some 52 years before presentation. We also present a literature review on this rare and interesting phenomenon...
April 2013: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
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