Babaei Kiana, Movahedi Ali, Alimardani Amirsadegh
Department of Anesthesia, Neyshabur University of Medical Sciences, Neyshabur, Iran.
Department of Basic Sciences, Neyshabur University of Medical Sciences, Neyshabur, Iran.
Case Rep Med. 2025 Jul 26;2025:9933178. doi: 10.1155/carm/9933178. eCollection 2025.
Hypopharyngeal rupture caused by indirect neck trauma is a rare but potentially life-threatening injury. Delayed diagnosis can lead to severe complications, highlighting the importance of clinical suspicion and appropriate imaging. A 64-year-old male patient sustained indirect neck trauma following a car accident. He was initially transferred to the hospital with mild symptoms and was discharged. However, a few hours later, he returned to the emergency department with neck pain, odynophagia, and dysphagia. CT imaging revealed evidence of hypopharyngeal rupture accompanied by retropharyngeal emphysema. The patient was managed conservatively with Nil Per Os (NPO), intravenous antibiotics, and the placement of a nasogastric (NG) tube. He achieved full recovery without complications. This case emphasizes the importance of thoroughly evaluating the relationship between clinical complaints and the mechanism of injury in patients with indirect neck trauma. High clinical suspicion, detailed history-taking, and appropriate imaging modalities are crucial for early diagnosis and effective management.
间接颈部创伤所致下咽破裂是一种罕见但可能危及生命的损伤。延迟诊断可导致严重并发症，凸显了临床怀疑和适当影像学检查的重要性。一名64岁男性患者在车祸后遭受间接颈部创伤。他最初因症状较轻被转至医院，随后出院。然而，数小时后，他因颈部疼痛、吞咽痛和吞咽困难返回急诊科。CT成像显示有下咽破裂伴咽后气肿的迹象。患者接受了禁食、静脉注射抗生素及放置鼻胃管的保守治疗。他完全康复且未出现并发症。该病例强调了对间接颈部创伤患者的临床症状与损伤机制之间的关系进行全面评估的重要性。高度的临床怀疑、详细的病史采集及适当的影像学检查方法对于早期诊断和有效治疗至关重要。
