Verletzungen der Speiseröhre nach stumpfem Thoraxtrauma

Abstract

The aim of this article was to raise the awareness of the difficulties physicians face in the diagnosis and treatment of esophageal perforation following blunt thoracic trauma. We present a case of esophagus perforation following blunt chest trauma in the course of a motorcycle accident. Within 24 h the patient was admitted to the University hospital, and presented with progressive pain, subfebrile temperature, leukocytosis and pneumomediastinum. Emergency surgery revealed extensive esophageal lesions. A two-stage surgical approach was chosen with initial resection and temporary closure of the esophagus. After 2 months the integrity of the esophagus could be restored without complications.

Duodenal transection following a seat belt injury: A case report

“…Only 42 cases of duodenal injury were reported in a pediatric trauma center in the United States over ten years [9] . Due to the retroperitoneal location of the duodenum, it is challenging to diagnose a duodenal injury [7] . Patients with duodenal injury usually present with nausea, vomiting, and abdominal pain [7] .…”

“…Due to the retroperitoneal location of the duodenum, it is challenging to diagnose a duodenal injury [7] . Patients with duodenal injury usually present with nausea, vomiting, and abdominal pain [7] . However, these findings are quite general and do not help differentiate the type of duodenal injury [7] .…”

“…Diagnostics in case of blunt abdominal trauma include X-rays, abdominal ultrasound, and laboratory tests [5] . X-rays may show the presence of free air in the abdomen, while abdominal ultrasound can assess the status of the duodenum and any associated injuries [5] .…”

“…Diagnostics in case of blunt abdominal trauma include X-rays, abdominal ultrasound, and laboratory tests [5] . X-rays may show the presence of free air in the abdomen, while abdominal ultrasound can assess the status of the duodenum and any associated injuries [5] . The diagnosis of a duodenal injury is challenging and often delayed due to the retroperitoneal anatomical location and infrequent presentations to clinicians.…”

“…A delay in diagnosis is associated with a higher rate of complications [6] . In the case of a suspected duodenal injury, an enhanced abdominal computed tomography (CT) scan should be done to confirm or exclude the presence of air or fluid in the retroperitoneal space [7] .…”