Our neurosurgeon performed a posterior approach decompressive laminectomy and reduction and lateral mass fusion of his cervical 3rd, 4th, 5th, and 6th vertebrae. He thus underwent an emergency operation. Initial diagnosis was c-spine dislocation and cervical cord injury. His initial chest tomographic scans revealed no abnormal findings. C4–5 traumatic spondylolisthesis grade 3 with intervertebral disc rupture, bilateral interfacet dislocation and severe compression of his spinal cord findings were seen on his magnetic resonance imaging. His c-spine simple anteroposterior and lateral views presented c-spine dislocation and his magnetic resonance image scans revealed dislocation and cord contusion. He had exaggerated knee and ankle jerk reflexes. His initial neurologic examination presented absent motor and sensory responses below his fourth thoracic nerve distribution. He worked as an electrician before his service. The patient had just finished compulsory military service as required by his country. CASE REPORTĪ 24-year-old male had visited our emergency center with symptoms of quadriplegia caused by diving in shallow waters under the influence of alcohol. We report a rare case of distal esophageal rupture after blunt injury caused by barotrauma. Seventy percent of esophageal ruptures due to blunt injury are found late and have poor prognosis. Esophageal rupture caused distal to the carina and distal from the site of blunt injury due to barotrauma is an extremely rare event. Esophageal perforation Wounds and injuries Barotrauma INTRODUCTIONĮsophageal rupture caused by blunt trauma has been reported to occur in 0.001% of all esophageal ruptures and they most commonly occur above the level of the carina. He underwent primary closure and pericardial flap as a life-saving procedure. The rupture was evidently caused by barotrauma and was discovered four days after admission. The rupture was discovered 4 days after emergency decompressive laminectomy and fusion for his cervical spine. The patient was quadriplegic and could not experience the typical chest pain related to rupture and resulting mediastinitis. We describe a case of esophageal rupture in a male 24-year-old patient after diving in shallow waters. However, rupture due to suspected barotrauma is very rare. Korea Correspondence to: Soon-Ho Chon, M.D., Ph.D., Department of Thoracic and Cardiovascular Surgery, Cheju Halla General Hospital, 65 Doryeong-ro, Jeju 63127, Korea, Tel: +82-6, Fax: +82-6, E-mail: 30 04 2018 30 04 2018 31 1 16 18 12 10 2017 14 12 2017 26 12 2017 Copyright © 2018 The Korean Society of Trauma 2018 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( ) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.ĭelayed esophageal rupture due to blunt injury is not new. Korea 2Department of Thoracic and Cardiovascular Surgery, Cheju Halla General Hospital, Jeju, 3 1Department of Traumatology, Cheju Halla General Hospital, Jeju, Journal of Trauma and Injury J Trauma Inj Journal of Trauma and Injury 1738-8767 2287-1683 The Korean Society of Trauma 10.20408/jti.2018.31.1.16 jti-31-016 Case Report Esophageal Rupture Due to Diving in Shallow Waters Han Sung Ho M.D.
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