An unusual type of severe barotrauma owing to automobile tire biting in a child.
The authors report a rare case of a barotraumatic pneumothorax and pneumomediastinum associated with esophageal perforation and orbital emphysema. A 4-year-old boy presented with sudden respiratory distress after blowout of a defective tire that he bit. Computed tomography scan showed right pneumothorax and bilateral orbital emphysema. A linear rupture has been detected in the cervical esophagus in esophagoscopy. Stamm gastrostomy and tube thoracostomy were performed, and broad-spectrum antibiotics have been introduced. Oral feeding started 23 days after blowout of tire, and the patient was discharged 50 days after injury.
Ozgüner
I Faruk
IF
Department of Pediatric Surgery, Süleyman Demirel University Medical School, Isparta, Turkey.
Savaş
Cağri
C
Yeşildağ
Ahmet
A
D001336:Automobiles; D001469:Barotrauma / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D001734:Bites, Human; D002675:Child, Preschool; D004945:Esophagoscopy; D004947:Esophagus / Q000293:injuries*; D005774:Gastrostomy; D006801:Humans; D008297:Male; D010988:Play and Playthings / Q000293:injuries*; D011030:Pneumothorax / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012421:Rupture / Q000175:diagnosis / Q000628:therapy; D013352:Subcutaneous Emphysema / Q000175:diagnosis / Q000209:etiology / Q000628:therapy