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Blunt traumatic esophageal injury: Unusual presentation and approach
Husham Abdulrahman1, Ahmad Ajaj1, Adam Shunni1
1Section of Trauma Surgery, Department of Surgery, Hamad General Hospital, Doha, Qatar.
Introduction:
Blunt esophageal injury is extremely rare event. However, it is a potential morbid injury unless managed early.
Presentation Of Case:
We report a rare case of blunt esophageal injury for a 28-year old male who presented with history of fall of heavy object over the right side of the chest. Diagnostic work up including chest X-ray, computerized tomography scans and gastrografin esophagogram revealed lower esophageal rupture. Right mini-thoracotomy with esophageal repair was performed. Postoperative course was uneventful.
Discussion:
The exact mechanism of blunt esophageal injury remains uncertain. This report described a unique location of esophageal rupture after blunt trauma that happened on the right side. Diagnosis of esophageal injury needs high index of suspicion and accurate diagnostic workup.
Conclusion:
Prompt diagnosis and management are the key for better prognosis in patients with blunt esophageal injury.
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