Blunt posterior tracheal laceration and esophageal injury in a child

Mukherjee, Kaushik; Isbell, James M.; Yang, Eunjin

doi:10.1016/j.jpedsurg.2009.01.012

Cited by 14 publications

(9 citation statements)

References 9 publications

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“…Esophageal perforation from blunt thoracic injury is very rare in children resulting in only a few cases having been described in the English language literature. [49][50][51][52][53][54] Associated injuries are common and diagnosis can be difficult. Diagnosis is often delayed, because with blunt injury, as opposed to penetrating injury, the index of suspicion for esophageal injuries is typically low, and the associated signs and symptoms often also present in a delayed and nonspecific fashion, particularly if the injury is contained and presents later as an acquired tracheoesophageal fistula.…”

Section: Esophageal Injurymentioning

confidence: 99%

Pediatric Blunt Thoracic Trauma

Alemayehu

Aguayo

2015

J Pediatr Intensive Care

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Thoracic injury in children deserves special attention because, although it accounts for less than 10% of traumatic injuries in children, there is a significant associated morbidity and mortality. This review discusses the anatomic and physiologic factors resulting in such injury severity with blunt thoracic trauma in children. Specific organ injuries, including most common chest wall injuries, hemo- and pneumothoraces, and pulmonary parenchymal injuries, are discussed, encompassing epidemiology, presentation, diagnosis, and management. Rare injuries including tracheobronchial tree injuries, cardiovascular injuries, esophageal injuries, and diaphragmatic injuries are also briefly discussed.

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Section: Esophageal Injurymentioning

confidence: 99%

Pediatric Blunt Thoracic Trauma

Alemayehu

Aguayo

2015

J Pediatr Intensive Care

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“…[16] Oral intake should be avoided and nutrition maintained either by a feeding jejunostomy or parenterally via central line. If the nature of the esophageal injury is such that a primary repair is not achievable or the tissues are beyond repair then a staged reconstructive procedure is advisable.…”

Section: Resultsmentioning

confidence: 99%

Combined tracheoesophageal transection after blunt neck trauma

Hamid

Jones

2013

J Emerg Trauma Shock

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Survival following tracheoesophageal transection is uncommon. Establishing a secure airway has the highest priority in trauma management. Understanding the mechanism of the incident can be a useful adjunct in predicting the likelihood and severity of specific anatomical patterns of injuries. We discuss published literature on combined tracheoesophageal injuries after blunt neck trauma and their outcome. A search of MEDLINE for papers published regarding tracheoesophageal injury was made. The literature search identified 14 such articles referring to a total of 27 patients. Age ranged from 3-73 years. The mechanism of injury was secondary to a rope/wire in 33%, metal bar in 4% of cases and unspecified in 63%. All of the patients were managed surgically. A number of tissues were used to protect the anastomosis including pleural and sternocleidomastoid muscle flaps. There were no reported mortalities. Patients with combined tracheoesophageal injury after blunt neck trauma require acute management of airway along with concomitant occult injuries.

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“…Blunt tracheal injury along with esophageal injury is rare. Adequate reports are not available to estimate the frequency of this type of cases using the literature [2]. This mechanism of laryngotracheal injury is secondary to that caused by a rope/wire (33% of cases) and that caused by a metal bar (4% of cases) [3].…”

Section: Discussionmentioning

confidence: 99%

A Case Report of a Soldier with Combined Injuries to the Trachea and Esophagus After Blunt Neck Trauma Successfully Treated Through an Emergency Operation

Wang¹,

Z²,

Xu³

et al. 2020

Preprint

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Background: Survival following blunt neck trauma that results in a combination of tracheal plus esophageal injury is unusual. Here we describe a case of young soldier who suffered combined injuries to the trachea and esophagus after a secondary injury involving a metal bar. Case Presentation: A 21 years old soldier who suffered from a daily training injury complained of neck ecchymosis with subcutaneous emphysema. The chest CT revealed that paratracheal adipose tissue had moved into the trachea and with massive pneumomediastinum and subcutaneous emphysema. We made a suspected diagnosis of tracheal injury because of the pneumomediastinum. Subsequently, the tracheoscopy revealed a 2-3 cm linear tear of the proximal trachea, with adipose tissue extending into the trachea. Twelve hours after the accident, an emergency surgery was performed. Combined injuries of the trachea plus esophagus were found by accident during the operation. The trachea as well as esophagus was repaired with simple interrupted silk sutures. The patient showed good postoperative recovery and was discharged with no complications.Conclusion: Combined blunt traumatic injuries to the laryngotrachea as well as esophagus are rare. Although uncommon and a diagnostic and management challenge, the illustrated case resulted in excellent outcome.

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Blunt posterior tracheal laceration and esophageal injury in a child

Cited by 14 publications

References 9 publications

Pediatric Blunt Thoracic Trauma

Pediatric Blunt Thoracic Trauma

Combined tracheoesophageal transection after blunt neck trauma

A Case Report of a Soldier with Combined Injuries to the Trachea and Esophagus After Blunt Neck Trauma Successfully Treated Through an Emergency Operation

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