Yu Yongkang, Ding Sheng, Zheng Yifeng, Li Wei, Yang Lie, Zheng Xiushan, Liu Xiaoyan, Jiang Jianqing
Department of Thoracic Surgery, General Hospital of Chengdu Military Region of PLA, Chengdu 610083, China.
J Med Case Rep. 2013 Aug 23;7:211. doi: 10.1186/1752-1947-7-211.
There have been no reports in the literature of esophageal rupture in adults resulting from an explosion of an automobile tire. We report the first case of just such an occurrence after an individual bit into a tire, causing it to explode in his mouth.
A 47-year-old Han Chinese man presented with massive hemorrhage in his left eye after he accidentally bit an automobile tire tube which burst into his mouth. He was diagnosed with esophageal rupture based on a chest computed tomography scan and barium swallow examination. Drainage of empyema (right chest), removal of thoracic esophagus, exposure of cervical esophagus, cardiac ligation and gastrostomy were performed respectively. After that, esophagogastrostomy was performed.
Successful anastomosis was obtained at the neck with no postoperative complications 3 months after the surgery. The patient was discharged with satisfactory outcomes. We present this case report to bring attention to esophageal rupture in adults during the explosion of an automobile tire tube in the mouth.
文献中尚无因汽车轮胎爆炸导致成人食管破裂的报道。我们报告首例此类事件，该事件发生在一名个体咬了一口轮胎，导致轮胎在其口腔内爆炸之后。
一名47岁的汉族男性在意外咬了一条爆入其口腔的汽车内胎后，出现左眼大量出血。基于胸部计算机断层扫描和吞钡检查，他被诊断为食管破裂。分别进行了脓胸引流（右胸）、胸段食管切除、颈段食管暴露、心脏结扎和胃造口术。之后，进行了食管胃吻合术。
术后3个月在颈部成功进行了吻合，无术后并发症。患者出院，结果满意。我们呈现此病例报告，以引起对汽车内胎在口腔内爆炸导致成人食管破裂的关注。
