Abstract
A man with a crush injury of his upper abdomen developed bilateral pulmonary empyema after repair of tears of the oesophagus and liver. Attempts to withdraw chest drains led to recurrent septicaemia, treated by reinsertion of the drains plus administration of antibiotics. The communication of the empyema space with both the bronchial tree and the oesophagus was managed successfully with intermittent positive pressure ventilation and with a double lumen endobronchial tube isolating the right lung for 10 days. Traumatic rupture of the thoracic oesophagus carries a high mortality and prompt repair is vital.
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- Chilimindris C. P. Rupture of the thoracic esophagus from blunt trauma. J Trauma. 1977 Dec;17(12):968–971. doi: 10.1097/00005373-197712000-00014. [DOI] [PubMed] [Google Scholar]
- GUPTA R. L., BANERJEE T. Traumatic esophagotracheal fistula. Am J Surg. 1961 Feb;101:227–229. doi: 10.1016/0002-9610(61)90758-9. [DOI] [PubMed] [Google Scholar]
- Michel L., Grillo H. C., Malt R. A. Operative and nonoperative management of esophageal perforations. Ann Surg. 1981 Jul;194(1):57–63. doi: 10.1097/00000658-198107000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stothert J. C., Jr, Buttorff J., Kaminski D. L. Thoracic esophageal and tracheal injury following blunt trauma. J Trauma. 1980 Nov;20(11):992–995. doi: 10.1097/00005373-198011000-00018. [DOI] [PubMed] [Google Scholar]
- Triggiani E., Belsey R. Oesophageal trauma: incidence, diagnosis, and management. Thorax. 1977 Jun;32(3):241–249. doi: 10.1136/thx.32.3.241. [DOI] [PMC free article] [PubMed] [Google Scholar]
- WORMAN L. W., HURLEY J. D., PEMBERTON A. H., NARODICK B. G. Rupture of the esophagus from external blunt trauma. Arch Surg. 1962 Aug;85:333–338. doi: 10.1001/archsurg.1962.01310020163029. [DOI] [PubMed] [Google Scholar]