Unique case of esophageal rupture after a fall from height.
BACKGROUND
Traumatic ruptures of the esophagus are relatively rare. This condition is associated with high morbidity and mortality. Most traumatic ruptures occur after motor vehicle accidents.


METHODS
We describe a unique case of a 23 year old woman that presented at our trauma resuscitation room after a fall from 8 meters. During physical examination there were no clinical signs of life-threatening injuries. She did however have a massive amount of subcutaneous emphysema of the chest and neck and pneumomediastinum. Flexible laryngoscopy revealed a lesion in the upper esophagus just below the level of the upper esophageal sphincter. Despite preventive administration of intravenous antibiotics and nutrition via a nasogastric tube, the patient developed a cervical abscess, which drained spontaneously. Normal diet was gradually resumed after 2.5 weeks and the patient was discharged in a reasonable condition 3 weeks after the accident.


CONCLUSIONS
This case report presents a high cervical esophageal rupture without associated local injuries after a fall from height.
van Heijl
Mark
M
Department of Surgery, Academic Medical Centre, Amsterdam, Netherlands. m.vanheijl@amc.uva.nl
Saltzherr
Teun P
TP
van Berge Henegouwen
Mark I
MI
Goslings
J Carel
JC
D000058:Accidental Falls; D003422:Critical Care; D004947:Esophagus / Q000293:injuries*; D005260:Female; D006801:Humans; D012421:Rupture / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D055815:Young Adult