Post-traumatic hematoma of the esophagus
A 20-year-old man was admitted after a traffic accident for a closed chest trauma. Initial evaluation showed a sternal fracture with a minor pneumomediastinum. Twenty-four hours later be experienced an acute respiratory failure, due to total left pulmonary atelectasis from indirect compression of th...
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| Veröffentlicht in: | Annales françaises d'anesthésie et de réanimation 1998, Vol.17 (9), p.1160 |
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| container_title | Annales françaises d'anesthésie et de réanimation |
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| creator | Rozec, B Rigal, J C Leteurnier, Y Lebert, C Blanloeil, Y |
| description | A 20-year-old man was admitted after a traffic accident for a closed chest trauma. Initial evaluation showed a sternal fracture with a minor pneumomediastinum. Twenty-four hours later be experienced an acute respiratory failure, due to total left pulmonary atelectasis from indirect compression of the left main stem bronchus. Mediastinal widening at the postero-superior level was visualized by CT scan. The aortogram was normal. Thoracotomy showed a moderate left haemothorax, associated with an intramural haematoma of the low thoracic oesophagus which was respected. The time course was uneventful, except repetitive atelectases treated by fibrescopic aspiration. Oesophageal haematoma secondary to chest trauma is a rare injury, with around 10 cases reported in the literature. Compression of tracheobronchial axis is exceptional. Because of the delayed occurrence of such a complication after chest trauma, with sternal fracture, close clinical surveillance and CT scans are essential. |
| format | Article |
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Initial evaluation showed a sternal fracture with a minor pneumomediastinum. Twenty-four hours later be experienced an acute respiratory failure, due to total left pulmonary atelectasis from indirect compression of the left main stem bronchus. Mediastinal widening at the postero-superior level was visualized by CT scan. The aortogram was normal. Thoracotomy showed a moderate left haemothorax, associated with an intramural haematoma of the low thoracic oesophagus which was respected. The time course was uneventful, except repetitive atelectases treated by fibrescopic aspiration. Oesophageal haematoma secondary to chest trauma is a rare injury, with around 10 cases reported in the literature. Compression of tracheobronchial axis is exceptional. Because of the delayed occurrence of such a complication after chest trauma, with sternal fracture, close clinical surveillance and CT scans are essential.</description><identifier>ISSN: 0750-7658</identifier><identifier>PMID: 9835989</identifier><language>fre</language><publisher>France</publisher><subject>Accidents, Traffic ; Adult ; Esophageal Diseases - etiology ; Esophagus - injuries ; Fractures, Bone - etiology ; Hematoma - etiology ; Hemothorax - etiology ; Humans ; Male ; Mediastinal Emphysema - etiology ; Pulmonary Atelectasis - etiology ; Respiratory Insufficiency - etiology ; Sternum - injuries ; Wounds, Nonpenetrating - complications</subject><ispartof>Annales françaises d'anesthésie et de réanimation, 1998, Vol.17 (9), p.1160</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4009</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9835989$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rozec, B</creatorcontrib><creatorcontrib>Rigal, J C</creatorcontrib><creatorcontrib>Leteurnier, Y</creatorcontrib><creatorcontrib>Lebert, C</creatorcontrib><creatorcontrib>Blanloeil, Y</creatorcontrib><title>Post-traumatic hematoma of the esophagus</title><title>Annales françaises d'anesthésie et de réanimation</title><addtitle>Ann Fr Anesth Reanim</addtitle><description>A 20-year-old man was admitted after a traffic accident for a closed chest trauma. Initial evaluation showed a sternal fracture with a minor pneumomediastinum. Twenty-four hours later be experienced an acute respiratory failure, due to total left pulmonary atelectasis from indirect compression of the left main stem bronchus. Mediastinal widening at the postero-superior level was visualized by CT scan. The aortogram was normal. Thoracotomy showed a moderate left haemothorax, associated with an intramural haematoma of the low thoracic oesophagus which was respected. The time course was uneventful, except repetitive atelectases treated by fibrescopic aspiration. Oesophageal haematoma secondary to chest trauma is a rare injury, with around 10 cases reported in the literature. Compression of tracheobronchial axis is exceptional. Because of the delayed occurrence of such a complication after chest trauma, with sternal fracture, close clinical surveillance and CT scans are essential.</description><subject>Accidents, Traffic</subject><subject>Adult</subject><subject>Esophageal Diseases - etiology</subject><subject>Esophagus - injuries</subject><subject>Fractures, Bone - etiology</subject><subject>Hematoma - etiology</subject><subject>Hemothorax - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Mediastinal Emphysema - etiology</subject><subject>Pulmonary Atelectasis - etiology</subject><subject>Respiratory Insufficiency - etiology</subject><subject>Sternum - injuries</subject><subject>Wounds, Nonpenetrating - complications</subject><issn>0750-7658</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpjYeA0MDc10DU3M7XgYOAqLs4yMDAwNTYxZGdgt7QwNrW0sORk0AjILy7RLSlKLM1NLMlMVshIBdL5uYkK-WkKJRmpCqnF-QUZiemlxTwMrGmJOcWpvFCam0HWzTXE2UO3oDQpNzUlvqAoMzexqDIearIxIXkAFMgtUQ</recordid><startdate>1998</startdate><enddate>1998</enddate><creator>Rozec, B</creator><creator>Rigal, J C</creator><creator>Leteurnier, Y</creator><creator>Lebert, C</creator><creator>Blanloeil, Y</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>1998</creationdate><title>Post-traumatic hematoma of the esophagus</title><author>Rozec, B ; Rigal, J C ; Leteurnier, Y ; Lebert, C ; Blanloeil, Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-pubmed_primary_98359893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>1998</creationdate><topic>Accidents, Traffic</topic><topic>Adult</topic><topic>Esophageal Diseases - etiology</topic><topic>Esophagus - injuries</topic><topic>Fractures, Bone - etiology</topic><topic>Hematoma - etiology</topic><topic>Hemothorax - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Mediastinal Emphysema - etiology</topic><topic>Pulmonary Atelectasis - etiology</topic><topic>Respiratory Insufficiency - etiology</topic><topic>Sternum - injuries</topic><topic>Wounds, Nonpenetrating - complications</topic><toplevel>online_resources</toplevel><creatorcontrib>Rozec, B</creatorcontrib><creatorcontrib>Rigal, J C</creatorcontrib><creatorcontrib>Leteurnier, Y</creatorcontrib><creatorcontrib>Lebert, C</creatorcontrib><creatorcontrib>Blanloeil, Y</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Annales françaises d'anesthésie et de réanimation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rozec, B</au><au>Rigal, J C</au><au>Leteurnier, Y</au><au>Lebert, C</au><au>Blanloeil, Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Post-traumatic hematoma of the esophagus</atitle><jtitle>Annales françaises d'anesthésie et de réanimation</jtitle><addtitle>Ann Fr Anesth Reanim</addtitle><date>1998</date><risdate>1998</risdate><volume>17</volume><issue>9</issue><spage>1160</spage><pages>1160-</pages><issn>0750-7658</issn><abstract>A 20-year-old man was admitted after a traffic accident for a closed chest trauma. Initial evaluation showed a sternal fracture with a minor pneumomediastinum. Twenty-four hours later be experienced an acute respiratory failure, due to total left pulmonary atelectasis from indirect compression of the left main stem bronchus. Mediastinal widening at the postero-superior level was visualized by CT scan. The aortogram was normal. Thoracotomy showed a moderate left haemothorax, associated with an intramural haematoma of the low thoracic oesophagus which was respected. The time course was uneventful, except repetitive atelectases treated by fibrescopic aspiration. Oesophageal haematoma secondary to chest trauma is a rare injury, with around 10 cases reported in the literature. Compression of tracheobronchial axis is exceptional. Because of the delayed occurrence of such a complication after chest trauma, with sternal fracture, close clinical surveillance and CT scans are essential.</abstract><cop>France</cop><pmid>9835989</pmid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0750-7658 |
| ispartof | Annales françaises d'anesthésie et de réanimation, 1998, Vol.17 (9), p.1160 |
| issn | 0750-7658 |
| language | fre |
| recordid | cdi_pubmed_primary_9835989 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Accidents, Traffic Adult Esophageal Diseases - etiology Esophagus - injuries Fractures, Bone - etiology Hematoma - etiology Hemothorax - etiology Humans Male Mediastinal Emphysema - etiology Pulmonary Atelectasis - etiology Respiratory Insufficiency - etiology Sternum - injuries Wounds, Nonpenetrating - complications |
| title | Post-traumatic hematoma of the esophagus |
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