Rupture of the low thoracic esophagus after blast trauma

Closed traumatic rupture of the esophagus is uncommon. Early diagnosis and effective treatment are necessary to avoid death or serious illness. We report a case of a low thoracic rupture after blunt trauma diagnosed at the stage of esophago pleural fistula and mediastinal collection. The patient und...

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Bibliographic Details
Published inTunisie Medicale Vol. 82; no. 3; p. 311
Main Authors Benmoussa, Mounir, Jarboui, Slim, Bentemime, Lassaad, Krichen, Ahmed, Ben Slimane, Tahar, Abdesselem, Mohamed Morched, Zaouche, Abdeljalil
Format Journal Article
LanguageFrench
Published Tunisia 01.03.2004
Subjects
Blast Injuries - complications
Blast Injuries - diagnosis
Blast Injuries - surgery
Colon - surgery
Esophagectomy
Esophagostomy
Esophagus - injuries
Esophagus - surgery
Follow-Up Studies
Gastroesophageal Reflux - diagnosis
Gastroesophageal Reflux - etiology
Gastrostomy
Humans
Jejunostomy
Male
Middle Aged
Radiography, Abdominal
Radiography, Thoracic
Rupture
Time Factors
Tomography, X-Ray Computed
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - diagnosis
Wounds, Nonpenetrating - surgery
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Summary:Closed traumatic rupture of the esophagus is uncommon. Early diagnosis and effective treatment are necessary to avoid death or serious illness. We report a case of a low thoracic rupture after blunt trauma diagnosed at the stage of esophago pleural fistula and mediastinal collection. The patient underwent a bipolar-exclusion of the esophagus. The digestive continuity was restored by a retrosternal coloplasty and an oesophagectomy was performed afterwards. The postoperative course was uneventful and the patient was in a good health three years after operation.
ISSN:0041-4131