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.
Department of Pediatric Surgery, Süleyman Demirel University Medical School, Isparta, Turkey.
I Faruk
IF
Ozgüner
Cağri
C
Savaş
Ahmet
A
Yeşildağ
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