Conservative management of esophageal perforation due to external air-blast injury: a case report and literature review

Zhao, Guangju; Cheng, Junyan; Zhi, Shaoce; Jin, Xiao; Lu, Zhongqiu

doi:10.1177/1756283x15576661

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…The management of Boerhaave's syndrome, regardless of the specific cause, begins with cessation of oral intake, administration of intravenous fluids and broad-spectrum antibiotics followed by surgical or endoscopic treatment of the tear [ 18 – 21 ]. An isolated nonoperative approach can only be taken in a minority of patients who have radiologic findings showing lack of mediastinal or pleural contamination and no systemic symptoms of infection at the time of presentation [ 9 , 11 , 22 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Spontaneous Esophageal Rupture after Swallowing a Boneless Chicken Nugget

Aga

Avelino

Darling

et al. 2016

Case Reports in Emergency Medicine

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A 25-year-old previously healthy man presented to our Emergency Department with shortness of breath and epigastric pain after swallowing a boneless chicken nugget one hour prior to presentation. Physical examination revealed epigastric rigidity and tenderness. Serology was normal except for mildly elevated bilirubin and amylase. Computed tomography (CT) scan of the chest revealed a distal esophageal rupture with accompanying pneumomediastinum and left-sided pleural effusion. Treatment was initiated with administration of intravenous fluids and broad-spectrum antibiotics. Subsequently, an esophageal stent was inserted endoscopically in addition to VATS (Video-Assisted Thoracoscopic Surgery) drainage of the left-sided pleural space. This case illustrates an unusual presentation of Boerhaave's syndrome: a rare and life-threatening form of noniatrogenic esophageal rupture most often preceded by forceful vomiting. Our case demonstrates that physicians should maintain an index of suspicion for spontaneous esophageal rupture in patients presenting with shortness of breath and epigastric pain even in the absence of preceding vomiting, cough, or seizure. Additionally, ingestion of boneless, shell-less foods may be sufficient to cause rupture in individuals without underlying esophageal pathology. CT scan of the thorax and upper abdomen should be performed in these patients to rule out this rare and life-threatening diagnosis.

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Section: Discussionmentioning

confidence: 99%

An Unusual Case of Spontaneous Esophageal Rupture after Swallowing a Boneless Chicken Nugget

Aga

Avelino

Darling

et al. 2016

Case Reports in Emergency Medicine

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Esophageal perforation: a research review of the anti-infective treatment

Gregory

Hecht²

2018

Int J Clin Pharm

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Background Esophageal perforation is a complex disease state and often difficult to diagnose due to the variability in patient presentation. The chosen anti-infective treatment and duration of anti-infective therapy that patients with esophageal perforation receive has been inconsistent. Choice of anti-infective treatment and duration of therapy may also be highly variable from institution to institution, and can even vary by provider. To our knowledge, there has not been a publication reviewing esophageal perforation with a specific focus on pharmacologic management. Aim of the review The aim of this study is to summarize pertinent research articles focused on the anti-infective treatment of adult patients diagnosed with esophageal perforation. Method Pubmed electronic database was utilized to search for articles meeting pre-defined criteria. Articles were included in this review if they discussed at least 1 of the following 3 criteria: choice of anti-infective treatment regimen, duration of anti-infective therapy, or identification of organisms growing from cultures associated with the esophageal perforation. Results Seventy-seven articles included information related to our research question. No randomized-controlled trials were identified and only 7 identified articles reported all 3 criteria of interest. Conclusion Review of the literature from 1979 to 2017 reveals the need for high quality evidence related to anti-infective treatment in patients diagnosed with esophageal perforation.

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Oesophageal rupture from a pneumatic blast injury: an unusual mechanism of blunt oesophageal trauma

Elsolh

Ko²,

Cheung³

et al. 2021

BMJ Case Rep

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Oesophageal perforation is a serious condition associated with significant morbidity and mortality. Clinical suspicion of oesophageal injury in patients sustaining neck or torso trauma is essential as early diagnosis and management are associated with better outcomes. Oesophageal perforation resulting from blunt trauma is uncommon, and traumatic oesophageal perforation following blast injury is exceedingly rare. We present two cases of patients developing oesophageal perforation from this rare mechanism, review basic principles of management, and key learning points.

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Conservative management of esophageal perforation due to external air-blast injury: a case report and literature review

Cited by 3 publications

References 14 publications

An Unusual Case of Spontaneous Esophageal Rupture after Swallowing a Boneless Chicken Nugget

An Unusual Case of Spontaneous Esophageal Rupture after Swallowing a Boneless Chicken Nugget

Esophageal perforation: a research review of the anti-infective treatment

Oesophageal rupture from a pneumatic blast injury: an unusual mechanism of blunt oesophageal trauma

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