Rupture of the Cervical Esophagus from Blunt Trauma

둔상에 의한 경부 식도의 파열

  • Nam, Seunghyuk (Department of Cardiovascular and Thoracic Surgery, Hanyang University Guri Hospital) ;
  • Ro, Sun Kyun (Department of Cardiovascular and Thoracic Surgery, Hanyang University Guri Hospital) ;
  • Cheong, Jin Hwan (Department of Trauma Surgery, Hanyang University Guri Hospital) ;
  • Park, Ki Chul (Department of Trauma Surgery, Hanyang University Guri Hospital) ;
  • Lee, Chul Burm (Department of Trauma Surgery, Hanyang University Guri Hospital)
  • 남승혁 (한양대학교 의과대학 구리병원 흉부외과) ;
  • 노선균 (한양대학교 의과대학 구리병원 흉부외과) ;
  • 정진환 (한양대학교 의과대학 구리병원 외상외과) ;
  • 박기철 (한양대학교 의과대학 구리병원 외상외과) ;
  • 이철범 (한양대학교 의과대학 구리병원 외상외과)
  • Received : 2013.11.13
  • Accepted : 2013.12.19
  • Published : 2013.12.31

Abstract

Rupture of the esophagus after blunt trauma is a rare event. But any type of esophageal rupture has the high morbidity and mortality rate. In these situations, the sign and symptom of the esophageal rupture is subtle and nonspecific; therefore, the physicians are usually not suspicious. Delaying in diagnosis prevents proper treatment (surgical or non-surgical) before significant complications occurred. We report a case of a cervical esophageal perforation with primary repair and drainage after blunt trauma.

Keywords

References

  1. Bahadursingh AM, Longo WE. Blunt traumatic rupture of the cervical esophagus. The Journal of trauma. 2006; 61(6): 1543- 4. https://doi.org/10.1097/01.ta.0000249967.92108.2e
  2. Asensio JA, Chahwan S, Forno W, MacKersie R, Wall M, Lake J, et al. Penetrating esophageal injuries: multicenter study of the American Association for the Surgery of Trauma. The Journal of trauma. 2001; 50(2): 289-96. https://doi.org/10.1097/00005373-200102000-00015
  3. Beal SL, Pottmeyer EW, Spisso JM. Esophageal perforation following external blunt trauma. The Journal of trauma. 1988; 28(10): 1425-32. https://doi.org/10.1097/00005373-198810000-00003
  4. Karmy-Jones R, Jurkovich GJ. Blunt chest trauma. Current problems in surgery. 2004; 41(3): 211-380. https://doi.org/10.1016/j.cpsurg.2003.12.003
  5. Wu JT, Mattox KL, Wall MJ, Jr. Esophageal perforations: new perspectives and treatment paradigms. The Journal of trauma. 2007; 63(5): 1173-84. https://doi.org/10.1097/TA.0b013e31805c0dd4
  6. Sepesi B, Raymond DP, Peters JH. Esophageal perforation: surgical, endoscopic and medical management strategies. Current opinion in gastroenterology. 2010; 26(4): 379-83. https://doi.org/10.1097/MOG.0b013e32833ae2d7