Ischemic Esophageal Necrosis Secondary to Traumatic Aortic Transection

Authors
Nam-Hee ParkJae-Hyun KimDae-Yung ChoiSae-Young ChoiChang-Kwon ParkKwang-Sook LeeSeong-Wook HanYoung-Sun Yoo
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학); Dept. of Internal Medicine (내과학)
Issue Date
2004
Citation
Annals of Thoracic Surgery, Vol.78(6) : 2175-2178, 2004
ISSN
0003-4975
Abstract
Esophageal necrosis with perforation secondary to traumatic aortic transection is extremely rare but usually fatal. A 47-year-old man complained of sudden swallowing difficulty 6 days after blunt trauma. Computed tomography showed a ruptured aorta and the midesophagus shifted to the right side with luminal obliteration because of the ruptured aorta. After primary repair of the partially transected aorta, unexpected mediastinitis because of esophageal perforation was noted. Upper endoscopy showed midesophageal ulceration, necrosis, and perforation. Biopsy samples were consistent with ischemia. The possibility of direct esophageal trauma or intraoperative esophageal injury was ruled out. Esophageal exclusion with thoracoscopic decortication and multiple antibiotics were ineffective, and the patient eventually died. Ischemic esophageal necrosis caused by mechanical compression can occur in a traumatic aortic transection. Dysphagia, when present with radiologic signs, indicates a displaced and compressed esophagus. In spite of aggressive surgical and medical treatment for a perforated esophagus, the prognosis remains poor.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/35047
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Keimyung Author(s)
박남희; 김재현; 최세영; 박창권; 이광숙; 유영선; 한성욱
Full Text
https://linkinghub.elsevier.com/retrieve/pii/S0003497503016709
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