Traumatic esophageal perforation in Puerto Rico Trauma Hospital: A case-series
| Autor: | Julio López-Maldonado, Jan C. Vázquez-Rodríguez, Jorge Pelet Mejías, Pablo Rodríguez-Ortiz, Ediel O. Ramos-Meléndez, Natalia M. Pelet del Toro, Felipe Rodríguez, Omar García-Rodríguez |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Esophageal injury/perforation Perforation (oil well) Gunshot esophageal perforation Trauma 03 medical and health sciences 0302 clinical medicine Blunt Esophagus medicine Stab wound Original Research business.industry Incidence (epidemiology) Blunt esophageal perforation General Medicine medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Etiology 030211 gastroenterology & hepatology Gunshot wound business Penetrating trauma |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| Popis: | Background Esophageal injuries are rare, life-threatening, events with an overall reported incidence of less than 3%. In rare cases, trauma due to blunt or penetrating injuries cause esophageal perforations, which account for less than 15% of all esophageal injuries. Materials and methods A case-series study was conducted to describe the outcomes and management of all the traumatic esophageal injuries at the Puerto Rico Trauma Hospital (PRTH) from 2000 through 2017. These cases were evaluated in terms of etiology of perforation, mechanism of injury and esophageal level. Results Sixteen patients were treated for esophageal injuries at the PRTH between 2000 and 2017. Of these patients, 15 (93.7%) were males with a median age of 24.5 years (16, 49). Regarding the etiology of the esophageal perforation, 2 (12.5%) patients suffered blunt esophageal trauma, and 14 (87.5%) patients had penetrating trauma to the esophagus. The most common mechanism of perforation was gunshot wound 10 (62.4%), followed by stab wound 4 (25.0%), and the least common were motor vehicle collision 1 (6.3%) and pedestrian injured by traffic 1 (6.3%). Regarding esophageal location, 9 (56.3%) patients presented cervical, 6 (37.5%) thoracic, and 1 (6.3%) abdominal injuries. Most patients 13 (81.3%) had a prompt diagnosis of traumatic esophageal perforation, while 3 (18.7%) patients had a delayed diagnosis. Only 2 (12.5%) deaths occurred among our 16 patients, including 1 (6.3%) in delayed diagnosed subjects. Conclusion Esophageal perforation is a life-threatening condition and should be treated urgently. An early diagnosis and prompt surgical treatment completed in the first 24-h is fundamental for a good outcome. Highlights • Sixteen patients were treated for esophageal injuries at the PRTH. • Two patients suffered blunt esophageal trauma and 14 patients had penetrating trauma to the esophagus. • Most patients had a prompt diagnosis of traumatic esophageal perforation, while 3 patients had a delayed diagnosis. • Regarding esophageal location, of the 16 patients, 9 presented cervical, 6 thoracic, and 1 abdominal esophageal injury. • Only 2 deaths occurred among our 16 patients, including 1 in delayed diagnosed subjects. |
| Databáze: | OpenAIRE |
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