Steering wheel rupture of the pharyngoesophagus. A solitary injury.

A unique case of a high posterior vertical linear laceration of the pharyngeosophagus secondary to steering wheel trauma without concomitant injury is presented. Diagnosis of this lesion is dependent upon frequently repeated physical examinations combined with appropriate laboratory and roentgenologic evaluations. Early institution of antibiotic therapy combined with early operative drainage and repair when feasible is advocated as the treatment of choice for this unusual entity.