Delayed Diagnosis of Pharyngeal Perforation following Exploding Tyre Blast Barotrauma
المؤلفون المشاركون
Field, Samantha M.
Manjaly, Joseph G.
Ramdoo, S. Krishan
Jones, Huw A. S.
Tatla, Taran S.
المصدر
Case Reports in Otolaryngology
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-11-26
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
Pharyngoesophageal perforation secondary to barotrauma is a rare phenomenon that can have serious complications if identified late.
It is challenging to detect due to nonspecific symptoms.
We present a case in which detection proved difficult leading to delayed diagnosis.
Case Report.
A 27-year-old mechanic presented with haemoptysis, dysphonia, and odynophagia after a car tyre exploded in his face.
Flexible nasoendoscopy (FNE) revealed blood in the pharynx, thought to represent mucosal haemorrhage.
Initial treatment consisted of IV dexamethasone and antibiotics.
After 3 days, odynophagia persisted prompting a CT scan.
This revealed a defect in the posterior hypopharynx and surgical emphysema in the deep neck tissues.
Contrast swallow confirmed posterior hypopharyngeal leak.
NG feeding was commenced until repeated contrast swallow confirmed resolution of the defect.
Discussion.
Prompt nonsurgical management of pharyngoesophageal perforation has good outcomes but untreated perforation can have serious complications.
FNE should be performed routinely, but only a contrast swallow can diagnose a functional perforation.
Clinicians should have a high index of clinical suspicion when patients present with barotrauma and odynophagia.
Patients should be kept nil by mouth until perforation has been excluded.
Conclusion.
When faced with cases of facial barotrauma, clinicians should have a low threshold for further imaging to exclude pharyngoesophageal perforation.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Field, Samantha M.& Manjaly, Joseph G.& Ramdoo, S. Krishan& Jones, Huw A. S.& Tatla, Taran S.. 2014. Delayed Diagnosis of Pharyngeal Perforation following Exploding Tyre Blast Barotrauma. Case Reports in Otolaryngology،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1017500
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Field, Samantha M.…[et al.]. Delayed Diagnosis of Pharyngeal Perforation following Exploding Tyre Blast Barotrauma. Case Reports in Otolaryngology No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-1017500
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Field, Samantha M.& Manjaly, Joseph G.& Ramdoo, S. Krishan& Jones, Huw A. S.& Tatla, Taran S.. Delayed Diagnosis of Pharyngeal Perforation following Exploding Tyre Blast Barotrauma. Case Reports in Otolaryngology. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1017500
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1017500
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر