Barotraumatic Perforation of Pharyngoesophagus by Explosion of a Bottle into the Mouth

Lee, Joon-Kyoo; Lim, Sang-Chul

doi:10.3349/ymj.2005.46.5.724

Cited by 15 publications

(13 citation statements)

References 19 publications

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“…Pharyngoesophageal perforation secondary to barotrauma historically has been mainly due to exploding drink bottles, often when the patient tries to open them with their teeth, but there have been less than 30 cases of this recorded in the English literature [ 1 , 2 ]. Vehicle or bicycle tyre explosion causing pharyngoesophageal barotrauma is an uncommon mechanism of insult.…”

Section: Discussionmentioning

confidence: 99%

Delayed Diagnosis of Pharyngeal Perforation following Exploding Tyre Blast Barotrauma

Field

Manjaly

Ramdoo

et al. 2014

Case Reports in Otolaryngology

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Introduction. Pharyngoesophageal perforation secondary to barotrauma is a rare phenomenon that can have serious complications if identified late. It is challenging to detect due to nonspecific symptoms. We present a case in which detection proved difficult leading to delayed diagnosis. Case Report. A 27-year-old mechanic presented with haemoptysis, dysphonia, and odynophagia after a car tyre exploded in his face. Flexible nasoendoscopy (FNE) revealed blood in the pharynx, thought to represent mucosal haemorrhage. Initial treatment consisted of IV dexamethasone and antibiotics. After 3 days, odynophagia persisted prompting a CT scan. This revealed a defect in the posterior hypopharynx and surgical emphysema in the deep neck tissues. Contrast swallow confirmed posterior hypopharyngeal leak. NG feeding was commenced until repeated contrast swallow confirmed resolution of the defect. Discussion. Prompt nonsurgical management of pharyngoesophageal perforation has good outcomes but untreated perforation can have serious complications. FNE should be performed routinely, but only a contrast swallow can diagnose a functional perforation. Clinicians should have a high index of clinical suspicion when patients present with barotrauma and odynophagia. Patients should be kept nil by mouth until perforation has been excluded. Conclusion. When faced with cases of facial barotrauma, clinicians should have a low threshold for further imaging to exclude pharyngoesophageal perforation.

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Section: Discussionmentioning

confidence: 99%

Delayed Diagnosis of Pharyngeal Perforation following Exploding Tyre Blast Barotrauma

Field

Manjaly

Ramdoo

et al. 2014

Case Reports in Otolaryngology

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“…[4] Brinster et al , in a review article, reported that cervical esophageal perforations were associated with a mortality of 6% (0–16%), whereas thoracic and abdominal perforations were associated with mortality of 27% (0–44%) and 21% of patients (0–43%), respectively. [7]…”

Section: Discussionmentioning

confidence: 99%

Esophageal perforation following bite of inner tube of automobile tyre: An unusual cause of barotrauma

Kadian

Agarwal

Rattan

et al. 2010

J Indian Assoc Pediatr Surg

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An 8-year-old child presented with severe chest pain and respiratory distress after he accidentally bit an automobile tyre tube which burst into his mouth. The chest radiograph revealed left-sided pneumothorax. Both esophagogram and computed tomogram (CT) scan revealed a perforation of the distal third of esophagus with extravasation of contrast on left side. The patient was treated conservatively with gastrostomy feeds and antibiotics for 5 weeks with a good response.

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“…From the majority of cases published to date associated with barotrauma perforation secondary to exploding bottles, the average age was less than 15 years old;2 this highlights the need for educating the young children involved in these incidents and informing parents of the dangers associated with carbonated bottled drinks.…”

Section: Discussionmentioning

confidence: 99%

Barotraumatic perforation of the pharyngo-oesophagus secondary to a Lambrini "bottle explosion"

Tavares

Taghi²,

Hewitt³

et al. 2009

Case Reports

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An interesting case of a middle-aged woman who sustained oral lacerations and pharyngeal tear/perforation on opening a bottle of Lambrini sparkling wine with her teeth is presented. The patient presented to the Accident and Emergency (A&E) department with bleeding from the mouth and dyspnoea, and on examination had a neck surgical emphysema and visible laceration to the oropharynx. On further investigation, including a range of imaging modalities, a diagnosis of pharyngeal tear/perforation was made, detected on a gastrograffin swallow test. The patient was subsequently treated conservatively, being kept nil by mouth and fed through a nasogastric tube, with prophylactic antibiotic cover. The patient was re-imaged 1 week later, which displayed complete resolution of the tear, and was subsequently discharged on a normal oral diet.

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Barotraumatic Perforation of Pharyngoesophagus by Explosion of a Bottle into the Mouth

Cited by 15 publications

References 19 publications

Delayed Diagnosis of Pharyngeal Perforation following Exploding Tyre Blast Barotrauma

Delayed Diagnosis of Pharyngeal Perforation following Exploding Tyre Blast Barotrauma

Esophageal perforation following bite of inner tube of automobile tyre: An unusual cause of barotrauma

Barotraumatic perforation of the pharyngo-oesophagus secondary to a Lambrini "bottle explosion"

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