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Successful case of treating a patient with associated trauma with rupture of the thoracic esophagus

DOI: https://doi.org/10.29296/25877305-2022-05-09

S. Yurov(1), Professor Yu. Vinnik(2), MD; Associate Professor E. Serova(1,2), MD; V. Bolshakov(1), A. Dudarev(1,2), A. Saverchenko(1), V. Kovrigin(1), V. Nesterov(1), A. Zima(1),
1-I.S. Berzon Krasnoyarsk Interdistrict Clinical Hospital Twentieth
2-V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

This report presents a case of successful treatment of a patient with severe concomitant trauma with damage to the thoracic esophagus. The article shows that a rupture of the esophagus is a rare, poorly diagnosed, but very serious complication, in particular, a road injury, accompanied by the rapid development of mediastinitis, sepsis, which worsens the course of traumatic illness and requires long-term, multicomponent treatmen

concomitant injury
rupture of the esophagus
case of successful treatment.

  1. Aliev M.A., Zhuraev Sh., Potapov V.A. Diagnostika i lechenie povrezhdenii pishchevoda. Alma-Ata, 1991; 158 s. (in Russ.).
  2. Dulaev A.K., Demko A.E., Taniya S.Sh. et al. Results of treatment of patients with esophagus injuries in level 1 trauma center. Polytrauma. 2020; 1: 11–7 (in Russ.). DOI: 10.24411/1819-1495-2020-10002
  3. Komarov B.D., Kanshin N.N., Abakumov M.M. Povrezhdeniya pishchevoda. M.: Meditsina, 1981; 176 s. (in Russ.).
  4. Yangiev B.A., Khadzhibaev A.M., Ligai R.E. Povrezhdeniya pishchevoda: diagnostika i taktika lecheniya. Vestnik khirurgii. 2003; 162 (5): 54–6 (in Russ.).
  5. Biancari F., D’Andrea V., Paone R. et al. Current treatment and outcome of esophageal perforations in adults: systematic review and meta-analysis of 75 studies. World J Surg. 2013; 37 (5): 1051–9. DOI: 10.1007/s00268-013-1951-7
  6. Biffl W.L., Moore E.E., Feliciano D.V. et al. Western Trauma Association Critical Decisions in trauma: diagnosis and management of esophageal injuries. J Trauma Acute Care Surg. 2015; 79 (6): 1089–95. DOI: 10.1097/TA.0000000000000772
  7. Franco K.L., Putnam J.B., Decker B.C. Advanced Therapy in Thoracic Surgery. London, 1998; р. 527.
  8. Huber-Lang M. et al. Esophageal Perforation: Principles of Diagnosis and Surgical Management. Surg Today. 2006; 36 (4): 332–40. DOI: 10.1007/s00595-005-3158-5
  9. Hanafi M., Al-Sarraf N., Sharaf H. et al. Pattern and presentation of blunt chest trauma among different age groups. Asian Cardiovasc Thorac Ann. 2011; 19 (1): 48–51. DOI: 10.1177/0218492310395954
  10. Lillington G.A., Bernatz P.E. Spontaneous Perforation of the Esophagus. Chest. 1961; 39: 177–84. DOI: 10.1378/chest.39.2.177
  11. Iyer S.G. Single stage bipolar exclusion of oesophagus in failed primary repair for perforation. J R Coll Surg Edinb. 2002; 47 (4): 623–5.
  12. Nagel M. et al. Management of esophageal perforation. Zentralbl Chir. 1999; 124: 489.
  13. Orgill D.P., Bayer L.R. Negative pressure wound therapy: past, present and future. Int Wound J. 2013; 10 (1): 15–9. DOI: 10.1111/iwj.12170
  14. Symbas P.N., Hatcher C.R., Harlaftis N. Spontaneous Rupture of the Esophagus. Ann Surg. 1978; 187: 634–9. DOI: 10.1097/00000658-197806000-00008