Acute mediastinitis after gastric rupture due to blunt trauma: A case report
Acute mediastinitis after gastric rupture due to blunt trauma is very rare. In such cases, the esophageal hiatus widens due to elevated intra-abdominal pressure, and spillage of gastric contents causes acute posterior mediastinitis. The present report describes the case of a 30-year-old man who inju...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-08-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644020300522 |
| _version_ | 1819030243094036480 |
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| author | Dongsub Noh Chan Ik Park Jae Hun Kim |
| author_facet | Dongsub Noh Chan Ik Park Jae Hun Kim |
| author_sort | Dongsub Noh |
| collection | DOAJ |
| description | Acute mediastinitis after gastric rupture due to blunt trauma is very rare. In such cases, the esophageal hiatus widens due to elevated intra-abdominal pressure, and spillage of gastric contents causes acute posterior mediastinitis. The present report describes the case of a 30-year-old man who injured his left flank, which resulted in gastric rupture. During emergency laparotomy, a ruptured stomach was observed and the abdominal cavity and posterior mediastinum were found to be filled with gastric contents. Following partial gastrectomy, multiple loculated fluids were detected around the esophagus. Irrigation and drainage around the esophagus were performed via video-assisted thoracic surgery. After surgery, the patient recovered from acute mediastinitis and was discharged without any significant complications. In patients with upper gastric rupture, acute mediastinitis should be suspected, and video-assisted thoracic surgery may be an appropriate treatment strategy in such patients. |
| first_indexed | 2024-12-21T06:27:03Z |
| format | Article |
| id | doaj.art-b2ffbd48c36c4034b276af1070a91308 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-21T06:27:03Z |
| publishDate | 2020-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-b2ffbd48c36c4034b276af1070a913082022-12-21T19:13:06ZengElsevierTrauma Case Reports2352-64402020-08-0128100328Acute mediastinitis after gastric rupture due to blunt trauma: A case reportDongsub Noh0Chan Ik Park1Jae Hun Kim2Department of Thoracic and Cardiovascular Surgery, Division of Trauma and Surgical Critical Care, Dankook University Hospital, Cheonan 31116, Republic of KoreaDepartment of Trauma and Surgical Critical Care, Pusan National University Hospital, Busan 49241, Republic of KoreaDepartment of Trauma and Surgical Critical Care, Pusan National University Hospital, Busan 49241, Republic of Korea; Corresponding author at: Department of Trauma and Surgical Critical Care, Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, Busan 49241, Republic of Korea.Acute mediastinitis after gastric rupture due to blunt trauma is very rare. In such cases, the esophageal hiatus widens due to elevated intra-abdominal pressure, and spillage of gastric contents causes acute posterior mediastinitis. The present report describes the case of a 30-year-old man who injured his left flank, which resulted in gastric rupture. During emergency laparotomy, a ruptured stomach was observed and the abdominal cavity and posterior mediastinum were found to be filled with gastric contents. Following partial gastrectomy, multiple loculated fluids were detected around the esophagus. Irrigation and drainage around the esophagus were performed via video-assisted thoracic surgery. After surgery, the patient recovered from acute mediastinitis and was discharged without any significant complications. In patients with upper gastric rupture, acute mediastinitis should be suspected, and video-assisted thoracic surgery may be an appropriate treatment strategy in such patients.http://www.sciencedirect.com/science/article/pii/S2352644020300522Blunt traumaStomachMediastinitis |
| spellingShingle | Dongsub Noh Chan Ik Park Jae Hun Kim Acute mediastinitis after gastric rupture due to blunt trauma: A case report Trauma Case Reports Blunt trauma Stomach Mediastinitis |
| title | Acute mediastinitis after gastric rupture due to blunt trauma: A case report |
| title_full | Acute mediastinitis after gastric rupture due to blunt trauma: A case report |
| title_fullStr | Acute mediastinitis after gastric rupture due to blunt trauma: A case report |
| title_full_unstemmed | Acute mediastinitis after gastric rupture due to blunt trauma: A case report |
| title_short | Acute mediastinitis after gastric rupture due to blunt trauma: A case report |
| title_sort | acute mediastinitis after gastric rupture due to blunt trauma a case report |
| topic | Blunt trauma Stomach Mediastinitis |
| url | http://www.sciencedirect.com/science/article/pii/S2352644020300522 |
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