Esophageal and trachael laceration

Case contributed by Dr Steve Lau

Presentation

Stab wound to neck and chest.

Patient Data

Age: 25
Gender: Female
CT

CT neck

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 esophagus and contour irregularity of the supraglottic larynx with locules of gas.

These findings are suspicious for esophageal and trachael injury.

CT

CT chest

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 esophageal and trachael laceration with a possible subcapsular hepatic injury.

PlayAdd to Share

Case information

rID: 28618
Published: 29th Apr 2014
Last edited: 14th Aug 2019
System: Head & Neck
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.