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Case Reports
Esophageal Perforation Accompanying Mediastinitis in Blunt Trauma in a Patient with Thoracic Osteophytes.
- Kei Suzuki, Haruna Yoshida, Ryo Esumi, Yohei Ieki, Akira Yamamoto, Masaki Ohi, Tadashi Kaneko, and Hiroshi Imai.
- Emergency and Critical Care Center, Mie University Hospital, Japan.
- Intern. Med. 2022 Sep 1; 61 (17): 2601-2605.
AbstractWe herein report a 61-year-old man who sustained injury after a 2-m fall and developed mediastinitis. He presented to another hospital two days after the fall and was transferred to our hospital four days after the fall with a fever and dysphagia. Computed tomography revealed osteophytes on the second and third thoracic vertebrae and free air in the mediastinum, indicating esophageal perforation. Emergent surgery was performed. Intraoperatively, a longitudinal esophageal tear was identified. We stress the importance of being aware of the possibility of osteophyte-related esophageal perforation in patients with a history of a fall. A delayed diagnosis affects the prognosis.
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