title: Esophageal rupture caused by explosion of an automobile tire tube: a case report.
abstract: BACKGROUND
  There have been no reports in the literature of esophageal rupture in adults resulting from an explosion of an automobile tire. We report the first case of just such an occurrence after an individual bit into a tire, causing it to explode in his mouth.
  
  
  METHODS
  A 47-year-old Han Chinese man presented with massive hemorrhage in his left eye after he accidentally bit an automobile tire tube which burst into his mouth. He was diagnosed with esophageal rupture based on a chest computed tomography scan and barium swallow examination. Drainage of empyema (right chest), removal of thoracic esophagus, exposure of cervical esophagus, cardiac ligation and gastrostomy were performed respectively. After that, esophagogastrostomy was performed.
  
  
  CONCLUSIONS
  Successful anastomosis was obtained at the neck with no postoperative complications 3 months after the surgery. The patient was discharged with satisfactory outcomes. We present this case report to bring attention to esophageal rupture in adults during the explosion of an automobile tire tube in the mouth.
authors: Department of Thoracic Surgery, General Hospital of Chengdu Military Region of PLA, Chengdu 610083, China. jjjiang2008@163.com.
authors: Yongkang
authors: Y
authors: Yu
authors: Sheng
authors: S
authors: Ding
authors: Yifeng
authors: Y
authors: Zheng
authors: Wei
authors: W
authors: Li
authors: Lie
authors: L
authors: Yang
authors: Xiushan
authors: X
authors: Zheng
authors: Xiaoyan
authors: X
authors: Liu
authors: Jianqing
authors: J
authors: Jiang
references: Lancet. 1961 Jan 7;1(7167):24-5
references: 13694539
references: Yonsei Med J. 2005 Oct 31;46(5):724-8
references: 16259075
references: J Pediatr Surg. 2004 Oct;39(10):1584-5
references: 15486913
references: J Indian Assoc Pediatr Surg. 2010 Jan;15(1):34-5
references: 21180505
references: Chirurg. 1977 Oct;48(10):651-6
references: 334493
references: J Thorac Cardiovasc Surg. 1972 Apr;63(4):553-60
references: 5014637
references: Ann Surg. 2003 Dec;238(6):803-12; discussion 812-4
references: 14631217