For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
9
views
6
references
 Top references
cited by
0
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      515
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Isolated Esophageal Injury Following Blunt Thoracic Trauma: A Rarity

      case-report
      Author(s): a , b , a , a
      Publication date (Electronic):
      Journal: Gastroenterology Research
      Publisher: Elmer Press
      Keywords: Blunt injury, Esophageal tear, Thoracotomy

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Esophageal injury following blunt trauma to chest is an extremely rare event, with only a limited number of cases being reported in the world literature. We report a case of perforation of the lower thoracic esophagus following a crush injury to the chest in a 14 year old child. An appropriately placed chest drain and decompression gastrostomy resulted in complete resolution of the esophageal leak within four weeks. This case report demonstrates that a conservative approach to lower thoracic esophageal perforations can be carried out successfully without the added morbidity of thoracotomy and risks of direct repair.

          Related collections

          Most cited references6

          • Record: found
          • Abstract: found
          • Article: not found

          Treatment and outcomes of oesophageal perforation in a tertiary referral centre.

          Lucy A. Muir, T. E. Graham, K McManus … (2003)
          The diagnosis and management of oesophageal perforation continues to challenge clinicians. We present our experience of perforated oesophagus in a Tertiary Referral Centre for Thoracic and Oesophageal Surgery. Between 1985 and 2000, 75 patients (40 male) with oesophageal perforation were treated in out unit; age range 24-89, median 63. Retrospective review of these cases has been performed. There were 12 deaths (16%). With increases in time from perforation to diagnosis, there was a stepwise increase in the mortality rate. Immediate diagnosis 5%; early diagnosis (1-24h) 14%; late diagnosis (>24h) 44% (P>or=0.002). Site of perforation, aetiology, and treatment strategy had no influence on mortality. The only independent predictor of mortality identified was time to diagnosis from perforation (beta 0.429, P=0.001). Time to definitive management in those undergoing an operative procedure had no influence on outcome with multivariate analysis. Prompt recognition of the diagnosis of oesophageal perforation and rapid institution of supportive measures, followed by an appropriate, patient specific treatment option optimises the chance of a successful outcome. The wide range of presentation of oesophageal perforation necessitates individualisation of treatment.
          Article 0 comments Cited 19 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Esophageal perforation following external blunt trauma.

            Deryk S. Beal, J Spisso, E Pottmeyer (1988)
            Esophageal perforation from external blunt trauma is an exceedingly rare injury. Since 1900, including our five cases, we found 96 reported cases. The most common cause was violent vehicular trauma. The cervical and upper thoracic esophagus was the site of perforation in 82%. In 78% of the cases, there were findings consistent with esophageal injury, but there was a delay in diagnosis in two thirds of these. The diagnostic difficulty was due to lack of a specific symptom complex for esophageal perforation. Often esophageal perforation was not suspected and the symptoms were attributed to the more common injuries, or the diagnostic workup was incomplete. There were 24 (38%) infectious complications directly related to the esophageal perforation. In 21 of these, there was a delay in diagnosis. There were five (9.4%) deaths due to sepsis from the esophageal perforation.
            Article 0 comments Cited 15 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Thoracic esophageal and tracheal injury following blunt trauma.

              J Buttorff, D. Kaminski, J C Stothert (1980)
              A 20-year-old man injured in a motor vehicular accident sustained a nonpenetrating double blowout injury of the upper thoracic esophagus. A simultaneous membraneous rupture of the trachea occurred. Treatment was by operative primary closure. A collective review of blunt upper thoracic esophageal perforations reveals a nearly uniform occurrence of associated tracheal injury.
              Article 0 comments Cited 7 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): Gastroenterology Res
                Journal ID (iso-abbrev): Gastroenterology Res
                Journal ID (publisher-id): Elmer Press
                Title: Gastroenterology Research
                Publisher: Elmer Press
                ISSN (Print): 1918-2805
                ISSN (Electronic): 1918-2813
                Publication date (Print): October 2009
                Publication date (Electronic): 20 September 2009
                Volume: 2
                Issue: 5
                Pages: 307-308
                Affiliations
                [a ]Department of General Surgery, Pt.B.D.Sharma Postgraduate Institute of Medical Sciences (P.G.I.M.S.), Rohtak-124001, Haryana, India
                Author notes
                [b ]Corresponding author: 9J/54, Medical Campus, PGIMS, Rohtak-124001 (Haryana) India. Email: drsatishdalal@ 123456rediffmail.com
                Article
                DOI: 10.4021/gr2009.10.1317
                PMC ID: 5139779
                SO-VID: 571b3cda-a989-4b3d-a410-c79d7a42f83e
                Copyright © Copyright 2009, Dalal et al.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date accepted : 14 October 2009
                Categories
                Subject: Case Report

                Keywords: blunt injury,esophageal tear,thoracotomy
                Data availability:
                Keywords: blunt injury, esophageal tear, thoracotomy

                Comments

                Comment on this article