Department of Thoracic and Cardiovascular Surgery, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, 271 Cheonbo-ro, Uijeongbu-si, Gyeonggi-do, Republic of Korea.
J Cardiothorac Surg. 2022 Sep 3;17(1):228. doi: 10.1186/s13019-022-01971-y.
Thoracic esophageal rupture due to blunt trauma is very rare. Moreover, there have been no reports of thoracic esophageal rupture due to blunt abdominal trauma without chest trauma.
We describe a rare case of esophageal rupture due to blunt abdominal trauma in a young female patient. Operation was delayed due to a misdiagnosis of chylothorax, and esophageal repair was performed six days after trauma. Postoperative esophageal leak developed and was treated with esophageal stent. She was discharged two months after surgery without sequelae.
It is important to consider esophageal rupture as a differential diagnosis even in patients with only abdominal trauma, when in doubt.
钝性胸外伤导致的食管破裂非常罕见。此外，尚无报道称钝性腹部外伤而无胸部外伤会导致胸段食管破裂。
我们描述了一例年轻女性患者因钝性腹部外伤导致食管破裂的罕见病例。由于误诊为乳糜胸，手术被延误，在创伤后六天才进行食管修复。术后出现食管漏，并采用食管支架治疗。术后两个月，患者无后遗症出院。
当有疑问时，即使患者只有腹部外伤，也应考虑将食管破裂作为鉴别诊断。
