Related Experiment Video
Updated: May 30, 2026

A Novel In Vitro Model of Blast Traumatic Brain Injury
Published on: December 21, 2018
Barotraumatic perforation of the pharyngo-oesophagus secondary to a Lambrini "bottle explosion"
Ricardo Tavares1, Ali Taghi, Richard Hewitt
1Charing Cross Hospital, ENT, Head and Neck Surgery, Fulham Palace Road, London, W6 8RF, UK.
Abstract:
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.
Related Concept Videos
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Pneumothorax II: Pathophysiology
Hiatal Hernia
Pneumothorax-II
Clinical Manifestations:
Intestinal Obstruction II: Pathophysiology

