Hypopharyngeal perforation caused by blunt trauma in buffalo attack.

Autor:	Archer JP; Wagga Wagga Base Hospital, Wagga Wagga, New South Wales, Australia jparcher0@gmail.com., Boot MR; Wagga Wagga Base Hospital, Wagga Wagga, New South Wales, Australia., Jardeleza C; Wagga Wagga Base Hospital, Wagga Wagga, New South Wales, Australia.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2023 Jan 24; Vol. 16 (1). Date of Electronic Publication: 2023 Jan 24.
DOI:	10.1136/bcr-2022-252542
Abstrakt:	A male in his 50s arrived by ambulance at a regional Australian hospital after being pinned by a buffalo against a fence by the chest and abdomen. Primary and secondary surveys identified an open fibula fracture and superficial abrasions. CT trauma series identified retropharyngeal free gas extending to the right carotid sheath. Flexible nasoendoscopy revealed a normal upper airway and no site of perforation. Oesophagoscopy and gastroscopy were completed to evaluate for a site of free gas leakage. A hypopharyngeal tear was identified 15 cm from the incisors at the cricopharyngeal sphincter. A gastrograffin swallow was completed which showed no leak. The decision was made to manage the patient conservatively with intravenous dexamethasone and intravenous ceftriaxone/metronidazole for antibiotic prophylaxis. The patient had his diet gradually upgraded and was discharged home 4 days later with oral amoxicillin and clavulanic acid. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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