Oesophageal and trachael laceration

Case contributed by Dr Steve Lau

Presentation

Stab wound to neck and chest.

Patient Data

Age: 25
Gender: Female

CT neck

Modality: CT

CT neck and chest show gas in retropharyngeal, prevertebral and perivisceral space extending inferiorly to base of neck and superior mediastinum anteriorly with scattered locules of gas at the right base of tongue and anterior strap muscles. There is also a thin curvilinear lucency posterior to upper intrathoracic oesophagus and contour irregularity of the supraglottic larynx with locules of gas.

These findings are suspicious for oesophageal and trachael injury.

CT chest

Modality: CT

CT chest show several locules of gas anterior to lower sternum with midline soft tissue laceration. High density fluid in the right cardiophrenic angle is consistent with blood extending inferiorly anterior to left lobe of liver. The subtle hypodensities in the subcapsular region of segment 2 is suspicious for a liver laceration. 

Case Discussion

Conclusion:

The above findings are suspicious for oesophageal and trachael laceration with a possible subcapsular hepatic injury.

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Case Information

rID: 28618
Case created: 3rd Apr 2014
Last edited: 27th Sep 2015
System: Head & Neck
Inclusion in quiz mode: Included

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