Abstract
Esophageal perforation due to blunt trauma is a rare clinical condition, and the diagnosis is often difficult because patients have few specific symptoms. Delayed diagnosis may result in a fatal clinical course due to mediastinitis and subsequent sepsis. In this article, we describe a 26-year-old man with esophageal perforation due to blunt chest trauma resulting from a motor vehicle accident. Because a severe disturbance of consciousness masked the patient's trauma-induced thoracic symptoms, we required 11 h to diagnose the esophageal perforation. Therefore, the patient developed septic shock due to mediastinitis. However, his subsequent clinical course was good because of prompt combined therapy involving surgical repair and medical treatment after the diagnosis.
| Original language | English |
|---|---|
| Pages (from-to) | 1790.e3-1790.e5 |
| Journal | American Journal of Emergency Medicine |
| Volume | 35 |
| Issue number | 11 |
| DOIs | |
| Publication status | Published - Nov 2017 |
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All Science Journal Classification (ASJC) codes
- Emergency Medicine
Cite this
Esophageal perforation due to blunt chest trauma : Difficult diagnosis because of coexisting severe disturbance of consciousness. / Mezuki, Satomi; Shono, Yuji; Akahoshi, Tomohiko; Hisanaga, Kana; Saeki, Hiroshi; Nakashima, Yuichiro; Momii, Kenta; Maki, Jun; Tokuda, Kentaro; Maehara, Yoshihiko.
In: American Journal of Emergency Medicine, Vol. 35, No. 11, 11.2017, p. 1790.e3-1790.e5.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Esophageal perforation due to blunt chest trauma
T2 - Difficult diagnosis because of coexisting severe disturbance of consciousness
AU - Mezuki, Satomi
AU - Shono, Yuji
AU - Akahoshi, Tomohiko
AU - Hisanaga, Kana
AU - Saeki, Hiroshi
AU - Nakashima, Yuichiro
AU - Momii, Kenta
AU - Maki, Jun
AU - Tokuda, Kentaro
AU - Maehara, Yoshihiko
PY - 2017/11
Y1 - 2017/11
N2 - Esophageal perforation due to blunt trauma is a rare clinical condition, and the diagnosis is often difficult because patients have few specific symptoms. Delayed diagnosis may result in a fatal clinical course due to mediastinitis and subsequent sepsis. In this article, we describe a 26-year-old man with esophageal perforation due to blunt chest trauma resulting from a motor vehicle accident. Because a severe disturbance of consciousness masked the patient's trauma-induced thoracic symptoms, we required 11 h to diagnose the esophageal perforation. Therefore, the patient developed septic shock due to mediastinitis. However, his subsequent clinical course was good because of prompt combined therapy involving surgical repair and medical treatment after the diagnosis.
AB - Esophageal perforation due to blunt trauma is a rare clinical condition, and the diagnosis is often difficult because patients have few specific symptoms. Delayed diagnosis may result in a fatal clinical course due to mediastinitis and subsequent sepsis. In this article, we describe a 26-year-old man with esophageal perforation due to blunt chest trauma resulting from a motor vehicle accident. Because a severe disturbance of consciousness masked the patient's trauma-induced thoracic symptoms, we required 11 h to diagnose the esophageal perforation. Therefore, the patient developed septic shock due to mediastinitis. However, his subsequent clinical course was good because of prompt combined therapy involving surgical repair and medical treatment after the diagnosis.
UR - http://www.scopus.com/inward/record.url?scp=85028055320&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85028055320&partnerID=8YFLogxK
U2 - 10.1016/j.ajem.2017.08.043
DO - 10.1016/j.ajem.2017.08.043
M3 - Article
C2 - 28844532
AN - SCOPUS:85028055320
VL - 35
SP - 1790.e3-1790.e5
JO - American Journal of Emergency Medicine
JF - American Journal of Emergency Medicine
SN - 0735-6757
IS - 11
ER -