Unpredictable Outcome of Large Traumatic Oesophageal Injury: An Experience and Challenges
Oesophageal injury following blunt or penetrating injury due to road traffic accidents is a rare cause of morbidity and mortality. The outcome of delayed diagnosis of oesophageal injury is mostly life threatening conditions. A 23-year-old female presented with respiratory distress, fever, chest pa...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2021-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/14659/46994_CE[Ra]_F(Sh)_PF1(AG_SL)_PN(KM).pdf |
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| author | Mahaveer Singh Rodha Satya Prakash Meena Subhash Chandra Soni Pawan Kumar Garg Althea Vency Cardoz |
| author_facet | Mahaveer Singh Rodha Satya Prakash Meena Subhash Chandra Soni Pawan Kumar Garg Althea Vency Cardoz |
| author_sort | Mahaveer Singh Rodha |
| collection | DOAJ |
| description | Oesophageal injury following blunt or penetrating injury due to road traffic accidents is a rare cause of morbidity and mortality.
The outcome of delayed diagnosis of oesophageal injury is mostly life threatening conditions. A 23-year-old female presented
with respiratory distress, fever, chest pain and facial deformity, following road traffic accident 15 days back. After evaluation,
the patient was diagnosed with septicaemia due to large thoracic oesophageal perforation with left pyothorax. The patient was
managed by Video Assisted Thoracoscopic Surgery (VATS) decortication with feeding jejunostomy followed by diversion cervical
oesophagostomy. The patient was planned for oesophageal reconstructive surgery electively in follow-up period. After six weeks in
the follow-up period, surprisingly large thoracic oesophagus perforation and cervical oesophagostomy was healed spontaneously
which was confirmed by gastrograffin study. Spontaneous closure of large thoracic oesophageal perforation is the rare outcome
of this injury. |
| first_indexed | 2024-12-17T01:48:21Z |
| format | Article |
| id | doaj.art-8890dea9a7544aac8f2a438cc930764f |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-17T01:48:21Z |
| publishDate | 2021-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-8890dea9a7544aac8f2a438cc930764f2022-12-21T22:08:07ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-03-01153PD09PD1010.7860/JCDR/2021/46994.14659Unpredictable Outcome of Large Traumatic Oesophageal Injury: An Experience and ChallengesMahaveer Singh Rodha0Satya Prakash Meena1Subhash Chandra Soni2Pawan Kumar Garg3Althea Vency Cardoz4Additional Professor, Department of General Surgery (Trauma and Emergency), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.Assistant Professor, Department of General Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.Assistant Professor, Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.Associate Professor, Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.Junior Resident, Department of General Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.Oesophageal injury following blunt or penetrating injury due to road traffic accidents is a rare cause of morbidity and mortality. The outcome of delayed diagnosis of oesophageal injury is mostly life threatening conditions. A 23-year-old female presented with respiratory distress, fever, chest pain and facial deformity, following road traffic accident 15 days back. After evaluation, the patient was diagnosed with septicaemia due to large thoracic oesophageal perforation with left pyothorax. The patient was managed by Video Assisted Thoracoscopic Surgery (VATS) decortication with feeding jejunostomy followed by diversion cervical oesophagostomy. The patient was planned for oesophageal reconstructive surgery electively in follow-up period. After six weeks in the follow-up period, surprisingly large thoracic oesophagus perforation and cervical oesophagostomy was healed spontaneously which was confirmed by gastrograffin study. Spontaneous closure of large thoracic oesophageal perforation is the rare outcome of this injury.https://www.jcdr.net/articles/PDF/14659/46994_CE[Ra]_F(Sh)_PF1(AG_SL)_PN(KM).pdfoesophageal perforationoesophagostomythoracictraumavideo assisted thoracoscopic surgery decortication |
| spellingShingle | Mahaveer Singh Rodha Satya Prakash Meena Subhash Chandra Soni Pawan Kumar Garg Althea Vency Cardoz Unpredictable Outcome of Large Traumatic Oesophageal Injury: An Experience and Challenges Journal of Clinical and Diagnostic Research oesophageal perforation oesophagostomy thoracic trauma video assisted thoracoscopic surgery decortication |
| title | Unpredictable Outcome of Large Traumatic Oesophageal Injury: An Experience and Challenges |
| title_full | Unpredictable Outcome of Large Traumatic Oesophageal Injury: An Experience and Challenges |
| title_fullStr | Unpredictable Outcome of Large Traumatic Oesophageal Injury: An Experience and Challenges |
| title_full_unstemmed | Unpredictable Outcome of Large Traumatic Oesophageal Injury: An Experience and Challenges |
| title_short | Unpredictable Outcome of Large Traumatic Oesophageal Injury: An Experience and Challenges |
| title_sort | unpredictable outcome of large traumatic oesophageal injury an experience and challenges |
| topic | oesophageal perforation oesophagostomy thoracic trauma video assisted thoracoscopic surgery decortication |
| url | https://www.jcdr.net/articles/PDF/14659/46994_CE[Ra]_F(Sh)_PF1(AG_SL)_PN(KM).pdf |
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