Combined rupture of trachea and esophagus following blunt trauma--a case report

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi
M AsaokaA Seki

Abstract

A 49-year-old man was involved in a motor vehicle crash and was admitted to a local hospital. The following day, he was transferred to our hospital because of worsening dyspnea. Initial examination revealed no subcutaneous emphysema, and chest computed tomography (CT) demonstrated no mediastinal air. A left thoracentesis tube was placed for pneumothorax, which reduced the patient's respiratory distress. He had a persistent, productive cough, which worsened when he drank water. A repeat chest CT on the fifth hospital day revealed a tracheo-esophageal fistula. Bronchoscopy and esophagoscopy confirmed the diagnosis. He underwent repair of the trachea and esophagus. The ruptured membraneous portion of the trachea was closed with interrupted sutures and covered with pedicled pericardial flap. The perforated anterior esophageal wall was sutured in layers and reinforced with a fifth intercostal muscle flap. A gastrostomy tuve was placed for feeding access. Within 6 weeks, the patient recovered completely.

References

Jul 1, 1992·The Annals of Thoracic Surgery·P N SymbasR R Ricketts
Oct 1, 1990·The Annals of Thoracic Surgery·F BaumgartnerJ M Robertson
Dec 1, 1989·The Annals of Thoracic Surgery·S O TaskinenA R Sovijärvi
Aug 1, 1987·Annals of Surgery·R M ShorrA Rodriguez
Feb 1, 1987·The Annals of Thoracic Surgery·J P KellyM Lirtzman
Aug 1, 1985·The Journal of Trauma·M S GlattererF L Grover
Jul 1, 1996·The Annals of Thoracic Surgery·J L Martin de NicolásJ Toledo

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Citations

Apr 21, 2004·Current Problems in Surgery·Riyad Karmy-Jones, Gregory J Jurkovich
Jan 23, 2003·Asian Cardiovascular & Thoracic Annals·Bambarawane L A KarunaratneGamini Goonetilleke

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