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
Issue: 
5
Year: 
2022

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

Keywords: 
surgery
concomitant injury
rupture of the esophagus
case of successful treatment.
premenopause
Femoklim
Nervo-Vit



References: 
  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
  15. Bobrovskii A.V., Rotov A.V., Gudkov S.V. et al. Vzaimosvyaz' psikhologicheskikh osobennostei lichnosti i massy tela u bol'nykh ekzogenno-konstitutsional'nym ozhireniem. Sibirskii psikhologicheskii zhurnal. 1998; 8–9: 84–5 (in Russ.).
  16. Voznesenskaya T.G., Dorozhevets A.N. Rol' osobennostei lichnosti v patogeneze tserebral'nogo ozhireniya. Sovetskaya meditsina. 1987; 3: 28–32 (in Russ.).
  17. Ryden A., Sullivan M., Torgerson J.S. et al. Severe obesity and personality: a comparative controlled study of personality traits. Int J Obes Relat Metab Disord. 2003; 27 (12): 1534–40. DOI: 10.1038/sj.ijo.0802460
  18. Khabibulina M.M. Effect of hypoestrogenemia on quality of life of premenopausal women with arterial hypertension. Kardiologiya. 2013; 53 (11): 45–8 (in Russ.).
  19. Khabibulina M., Shamilov M. Quality of life in young women with hypertension and an altered hormonal background. Vrach. 2021; 32 (1): 46–9 (in Russ.). DOI: 10.29296/25877305-2021-01-09 (in Russ.).
  20. Blumel J.E., Castello C. et al. Quality of life after the menopause – a population study. Maturitas. 2009; 34 (1): 17–23. DOI: 10.1016/s0378-5122(99)00081-x
  21. Stein K.D., Jacobsen P.B. Impact of hot flashes on quality of life among postmenopausal women being treated for breast cancer. J Pain Symptom. 2009; 19: 436–45.
  22. Dedov D.V., Mazaev V. P., Ryazanova S. V. et al. Study of quality of life in interventional and conservative treatment of patients with stable angina pectoris at long-term follow-up. Cardiovascular therapy and prevention. 2014; 13 (5). 31–5 (in Russ.). DOI: 10.15829/1728-8800-2014-5-31-35
  23. Khabibulina M.M. Kardiovaskulyarnyi risk pri estrogenodefitsite v doklimaktericheskikh periodakh.Yekaterinburg, 2014 (in Russ.).
  24. Khabibulina M.M., Smolentseva A.A. Terapiya trevozhnykh rasstroistv u zhenshchin s arterial'noi gipertenziei v period premenopauzy na ambulatornom etape. V sb.: V s"ezd kardiologov Ural'skogo federal'nogo okruga. Mat-ly s"ezda. 2011; s. 282–4 (in Russ.).
  25. Skornyakova M.N., Syrochkina M.A. Gipomenstrual'nyi sindrom. Rukovodstvo dlya vrachei. Ekaterinburg, 2008; 236 s. (in Russ.).
  26. Smetnik V.P., Il'ina L.M. Korrektsiya klimaktericheskogo sindroma (individualizatsiya terapii). V kn. «Meditsina klimakteriya». Litera, 2006; s. 217–74 (in Russ.).
  27. Ilovaiskaya I.A., Voitashevskii K.V. Menopauzal'naya gormonal'naya terapiya: vozmozhnosti i riski. Status Praesens. Ginekologiya. Akusherstvo. Besplodnyi brak. 2015; 5 (28): 80–6 (in Russ.).
  28. Menopauzal'naya gormonal'naya terapiya i sokhranenie zdorov'ya zhenshchin zrelogo vozrasta: Klinicheskie rekomendatsii (protokol lecheniya). M.: FGBU NTsGAiP, 2015 (in Russ.).
  29. Sturdee D.W., Pines A. Updated IMS recommendations on postmenopausal hormone therapy and preventive strategies for midlife health Group. Climacteric. 2011; 14: 302–20. DOI: 10.3109/13697137.2011.570590
  30. Khabibulina M.M., Dmitriev A.N. Sposob optimizatsii lecheniya zhenshchin kardiotropnoi terapiei i zamestitel'noi gormonal'noi terapiei pri estrogenodefitsite s arterial'noi gipertenziei v pozdnem reproduktivnom periode. Patent na izobretenie RU 2648470 C2, 26.03.2018 Zayavka №2016107890 ot 03.03.2016 (in Russ.).
  31. Khabibulina M. Therapy in women with hypertension and estrogen deficiency in the late fertile period. Vrach. 2016; 4: 45–9 (in Russ.).
  32. Speilberger C., Gorusch R., Lushene R. Test Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press, 1970; 280 р.
  33. Khanin Yu.L. Kratkoe rukovodstvo k primeneniyu shkaly reaktivnoi i lichnostnoi trevozhnosti Ch.D. Speilberger. L., 1976; 40 s. (in Russ.).
  34. Van Strien, T., Herman C.P., Verheijden M.W. Eating style, overeating, and overweight in a representative Dutch sample: Does external eating play a role? Appetite. 2008; 52 (2): 380–7. DOI: 10.1016/j.appet.2008.11.010
  35. Ovsyannikova T.V., Makarov I.O., Kulikov I.A. Clinical efficacy of non-hormonal methods of therapy in perimenopausal women. Obstetrics, Gynecology and Reproduction. 2013; 7 (3): 26–9 (in Russ.).
  36. Petrova E., Kalistratov V., Polyboyarinov P. et al. The menopause drug Femo-Klim is the best nonhormonal solution of hormonal problems. Vrach. 2019; 30 (1): 46–9 (in Russ.). DOI: 10.29296/25877305-2019-01-08
  37. Radzinskii V.E., Dobretsova T.A. Menopauza kak mekhanizm zhenskogo stareniya. Fitoestrogeny – razvedka boem. StatusPraesens. Ginekologiya. Akusherstvo. Besplodnyi brak. 2015; 2 (25): 51–8 (in Russ.).
  38. Tatarova N.A., Linde V.A., Zhidkova E.V. et al. Negormonal'naya korrektsiya klimaktericheskikh rasstroistv v peri- i postmenopauze. Effektivnaya farmakoterapiya v akusherstve i ginekologii. 2009; 17: 12–5 (in Russ.).
  39. Khamoshina M.B., Rogovskaya S.I., Naumchik G.A. Aktual'nye vozmozhnosti farmakologii v profilaktike vozrastnykh narushenii. StatusPraesens. Ginekologiya. Akusherstvo. Besplodnyi brak. 2014; 1 (18): 75–81