Tagliaferri Ariana R, Naseer Minha, Azam Shoaib, Melki Gabriel, Grossman Matthew A
Internal Medicine, St. Joseph's Regional Medical Center, Paterson, USA.
Gastroenterology and Hepatology, St. Joseph's University Medical Center, Paterson, USA.
Cureus. 2023 Feb 28;15(2):e35603. doi: 10.7759/cureus.35603. eCollection 2023 Feb.
Esophageal injuries are typically iatrogenic after endoscopic/surgical procedures, but they are rarely caused by penetrative or blunt trauma. We present a case of patient who suffered multiple stab wounds to the neck and underwent surgical repair for hemorrhagic shock but was ultimately diagnosed and treated successfully via endoscopy for a thoracic esophageal injury. Early detection is imperative and usually diagnosed via contrast studies but less commonly via direct visualization endoscopically. Moreover, endoscopic treatment is also less commonly utilized, even if diagnosed from that modality. Cervical injuries also confer a lower mortality than thoracic injuries.
食管损伤通常是内镜/手术后的医源性损伤，但很少由穿透性或钝性创伤引起。我们报告一例患者，其颈部遭受多处刺伤，因失血性休克接受手术修复，但最终通过内镜检查成功诊断并治疗了胸段食管损伤。早期检测至关重要，通常通过造影检查诊断，但较少通过内镜直接观察诊断。此外，即使通过该方式诊断，内镜治疗也较少使用。颈部损伤的死亡率也低于胸部损伤。
