Isolated proximal esophageal injury from blunt trauma: endoscopic stricture dilatation.
Blunt neck trauma can cause isolated esophageal injuries that may be difficult to recognize. A high index of suspicion is necessary for optimal identification and management of this condition. We report a case of blunt esophageal trauma resulting from a motor vehicle accident that was initially unrecognized until the patient developed a tight stricture of the cervical esophagus. This was successfully dilated endoscopically. Aerodigestive trauma resulting from neck injuries is reviewed with emphasis on the pathophysiology of esophageal trauma.
Pineau
Benoit C
BC
Department of Internal Medicine and Epidemiology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA. bpineau@wfubmc.edu
Ott
David J
DJ
D003680:Deglutition Disorders / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D004106:Dilatation; D004724:Endoscopy; D004940:Esophageal Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D004947:Esophagus / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014949:Wounds, Nonpenetrating / Q000150:complications*