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Báo cáo y học: "Esophageal perforation caused by external airblast injury"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Esophageal perforation caused by external airblast injury. | Roan and Wu Journal of Cardiothoracic Surgery 2010 5 130 http www.cardiothoracicsurgery.Org content 5 1 130 II JOTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Esophageal perforation caused by external airblast injury Jun-Neng Roan1 Ming-Ho Wu2 Abstract Background Esophageal perforation after external air-blast trauma is rarely presented in the emergency room. The diagnosis is often delayed more than 24 hours. Methods We review the literature and report a case of esophageal perforation caused by external air-blast injury. Results Including the present case a total of 5 cases of esophageal perforation were caused by external air-blast injury in English literature. Of them the common presentations were chest pain and dyspnea. The treatment methods varied with each case. One patient died before diagnosis of esophageal perforation and the others survived after proper surgical management. Conclusions Early diagnosis and proper surgical management can reduce the morbidity and mortality of patients who suffered from esophageal perforation caused by external air-blast injury. Background Esophageal perforation caused by air-blast injury is uncommon. An external air impact on the chest wall and upper abdomen inducing rupture of the esophagus is an even rare event. Only four cases of esophageal rupture caused by an external air-blast injury were found in a perusal of the English literature 1-4 . The objective of this article is to report our patient and a review of the literature to establish diagnostic and treatment strategies for esophageal perforation after an external air-blast injury. Case presentation Present Case A 31-year-old man was struck on the right side of the face and left subcostal region at work when a nitrogen tank exploded four hours after he had eaten his lunch. He was knocked down to the ground and dazed without loss of consciousness. He was immediately sent to the emergency department with a presentation of left chest pain and dyspnea. His .