Unpredictable Outcome of Large Traumatic Oesophageal Injury: An Experience and Challenges
Oesophageal injury following blunt or penetrating injury due to road traffic accidents is a rare cause of morbidity and mortality. The outcome of delayed diagnosis of oesophageal injury is mostly life threatening conditions. A 23-year-old female presented with respiratory distress, fever, chest pa...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/14659/46994_CE[Ra]_F(Sh)_PF1(AG_SL)_PN(KM).pdf |
| Summary: | Oesophageal injury following blunt or penetrating injury due to road traffic accidents is a rare cause of morbidity and mortality.
The outcome of delayed diagnosis of oesophageal injury is mostly life threatening conditions. A 23-year-old female presented
with respiratory distress, fever, chest pain and facial deformity, following road traffic accident 15 days back. After evaluation,
the patient was diagnosed with septicaemia due to large thoracic oesophageal perforation with left pyothorax. The patient was
managed by Video Assisted Thoracoscopic Surgery (VATS) decortication with feeding jejunostomy followed by diversion cervical
oesophagostomy. The patient was planned for oesophageal reconstructive surgery electively in follow-up period. After six weeks in
the follow-up period, surprisingly large thoracic oesophagus perforation and cervical oesophagostomy was healed spontaneously
which was confirmed by gastrograffin study. Spontaneous closure of large thoracic oesophageal perforation is the rare outcome
of this injury. |
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| ISSN: | 2249-782X 0973-709X |