Oesophageal perforation: a rare complication of minor blunt trauma.

Cumberbatch, G L A; Reichl, M.

doi:10.1136/emj.13.4.295

Cited by 14 publications

(3 citation statements)

References 3 publications

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“…The severity of these lesions is due to associated tracheal lesions (up to 50%) [11]. Baroinjury has been reported after blunt trauma (road accidents [12], Heimlich maneuver [13]). EP complicates caustic burns mostly when management is delayed.…”

Section: Posttrauma Perforationsmentioning

confidence: 98%

Esophageal perforations

Chirica

Champault

Dray

et al. 2010

Journal of Visceral Surgery

171

166

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The incidence of esophageal perforation (EP) has risen with the increasing use of endoscopic procedures, which are currently the most frequent causes of EP. Despite decades of clinical experience, innovations in surgical technique and advances in intensive care management, EP still represents a diagnostic and therapeutic challenge. EP is a devastating event and mortality hovers close to 20%. Ambiguous presentations leading to misdiagnosis and delayed treatment and the difficulties in management are responsible for the high morbidity and mortality rates. A high variety of treatment options are available ranging from observational medical therapy to radical esophagectomy. The potential role of interventional endoscopy and the use of stents for the treatment of EP seem interesting but remain to be evaluated. Surgical primary repair, with or without reinforcement, is the preferred approach in patients with EP. Prognosis is mainly determined by the cause, the location of the injury and the delay between perforation and initiation of therapy.

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Section: Posttrauma Perforationsmentioning

confidence: 98%

Esophageal perforations

Chirica

Champault

Dray

et al. 2010

Journal of Visceral Surgery

171

166

View full text Add to dashboard Cite

show abstract

“…The increased abdominal or thoracic pressure applied during HM may lead to multiple complications, as summarized in Table 1. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Ours is the second reported case of a diaphragmatic hernia resulting from HM. 19 This patient's hospital course was complicated by multiple surgeries, intubations, and overall functional decline.…”

Section: Discussionmentioning

confidence: 99%

Incarcerated diaphragmatic hernia following Heimlich maneuver

Truong

Salire

Cicco

et al. 2017

Baylor University Medical Center Proceedings

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“…There are more than 100 drugs that can lead to esophageal lesions, especially capsulated doxycyclines. 12 Another common cause is impacted foreign bodies; 80% of esophageal perforations occur in the cervical region because of impacted foreign bodies. 2 Prolonged impaction of a foreign body inside the esophageal lumen might also perforate adjacent organs such as the trachea and aorta, leading to life-threatening events.…”

Section: Introductionmentioning

confidence: 99%

Surgical management of esophageal perforation: role of primary closure

Vũ

Quang

Khôi

2019

Asian Cardiovasc Thorac Ann

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Objective Esophageal perforation is a life-threatening condition associated with high mortality and morbidity. Ambiguous clinical presentation is one of the most common causes of delayed and difficult diagnosis of esophageal perforation. In this retrospective single-center study, we reviewed the outcome of primary closure in patients with esophageal perforation between 2009 and 2017. Methods The data of 65 patients attending our department of thoracic surgery (from 2009 to 2017) for esophageal perforation were reviewed. Primary repair was attempted in 63 patients irrespective of the site of perforation and time interval between injury and hospital admission. In intrathoracic lesions, continuous mediastinal and pleural irrigation was undertaken, whereas in cervical perforations, gauze packing and local irrigation were performed. Jejunotomy was carried out in patients with inadequate healing. Results Of the 65 patients, 63 underwent primary closure and 2 were left to heal spontaneously. The majority of patients ( n = 44) had an esophageal perforation at the thoracic level, and only one was admitted early (<24 h after injury). Among the 63 patients managed with primary closure, 55 had satisfactory healing with one surgery. Healing was delayed in the other 10 patients. No mortality was reported. Conclusions Esophageal perforation can be well managed by primary closure, irrespective of the time interval between injury and hospital admission and the site of perforation. Conservative management might lead to an increased rate of complications such as empyema or necrotizing mediastinitis, and increased morbidity and mortality.

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Oesophageal perforation: a rare complication of minor blunt trauma.

Abstract: though tricksters, may yet be mentally, and sometimes physically, ill; and that we who are not can, as well as being clever, also be kind. How can cases of Munchausen syndrome be recognised early in the consultation? The clinician's suspicion remains all important.

Cited by 14 publications

References 3 publications

Esophageal perforations

Esophageal perforations

Incarcerated diaphragmatic hernia following Heimlich maneuver

Surgical management of esophageal perforation: role of primary closure

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