J Korean Soc Traumatol.
2018 Apr;31(1):16-18. 10.20408/jti.2018.31.1..
Esophageal Rupture Due to Diving in Shallow Waters
- Affiliations
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- 1Department of Traumatology, Cheju Halla General Hospital, Jeju, Korea. sh.chon@hotmail.com
- 2Department of Thoracic and Cardiovascular Surgery, Cheju Halla General Hospital, Jeju, Korea.
- 3St. Johnsbury Academy, Jeju, Korea.
- KMID: 2437315
- DOI: http://doi.org/10.20408/jti.2018.31.1.
Abstract
- Delayed esophageal rupture due to blunt injury is not new. However, rupture due to suspected barotrauma is very rare. We describe a case of esophageal rupture in a male 24-year-old patient after diving in shallow waters. The patient was quadriplegic and could not experience the typical chest pain related to rupture and resulting mediastinitis. The rupture was discovered 4 days after emergency decompressive laminectomy and fusion for his cervical spine. The rupture was evidently caused by barotrauma and was discovered four days after admission. He underwent primary closure and pericardial flap as a life-saving procedure.
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