Esophageal laceration from penetrating trauma

Case contributed by RMH Core Conditions ◈

Diagnosis certain

Citation, DOI, disclosures and case data

Citation:

Conditions R, Esophageal laceration from penetrating trauma. Case study, Radiopaedia.org (Accessed on 03 Oct 2023) https://doi.org/10.53347/rID-26313

DOI:

https://doi.org/10.53347/rID-26313

Permalink:

https://radiopaedia.org/cases/26313?iframe=true

rID:

26313

Disclosures:

At the time the case was submitted for publication RMH Core Conditions had no recorded disclosures.

View RMH Core Conditions's current disclosures

Case published:

12 Dec 2013

Revisions:

19 times, by 4 contributors - see full revision history and disclosures

Systems:

Chest, Gastrointestinal, Hepatobiliary, Forensic

Tags:

core condition, trauma, emergencymedicine

Institution:

The Royal Melbourne Hospital

Quiz mode:

Included

Presentation

Stab wound to neck and chest

Patient Data

Age: 25 years

Gender: Female

Chest

From the case: Esophageal laceration from penetrating trauma

There is gas in the 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. Probable right internal laryngocoele. Contour irregularity of the supraglottic larynx with surrounding locules of gas. Thin curvilinear lucency posterior to the upper intrathoracic esophagus. Findings suspicious esophageal injury.

Gastrografin Swallow (performed next day)

From the case: Esophageal laceration from penetrating trauma

Fluoroscopy

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Gastrograffin is seen to pass posteriorly from the hypopharynx into the prevertebral space at a level just inferior to the hyoid bone. The prevertebral space is considerably distended by gas.

Case Discussion

Injuries sustained from penetrating trauma:

1 article features images from this case

Esophageal perforation

11 public playlists include this case

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