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Successful Management of Esophageal Perforation Diagnosed 3 Days After Injury Caused by an Explosion in the Workplace: Report of a Case

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Abstract

We report a case of esophageal perforation caused by an explosion, but which was not diagnosed until 3 days after the injury. A 53-year-old worker sustained superficial dermal burns to his trachea, face, neck, and legs during an explosion. The burns were treated conservatively at a local hospital, but he was transferred to our hospital 3 days after the injury, when mediastinal emphysema and bilateral pleural effusion became evident. An esophagogram followed by computed tomography showed an esophageal perforation caused by the blast injury, and we performed an esophagectomy with recontruction of the gastric tube. After the operation, an X-ray showed a foreign body in the lower abdomen, which we found in the upper thoracic esophagus on the day of injury. We surmised that the patient had inadvertently swallowed a foreign body, which had been heated and scattered by the explosion, and it had melted the upper thoracic esophagus.

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Authors and Affiliations

  1. Department of Surgery, Nagaoka Red-Cross Hospital, Nagaoka, Japan

    Shigeaki Sawada, Akio Kusama, Naohiro Shimakage, Tadashi Tanabe, Takanao Okamura, Katsuyuki Uchida & Kenzo Tajima

  2. Second Department of Surgery, Faculty of Medicine, University of Toyama, Sugitani, Toyama, Japan

    Shigeaki Sawada & Kazuhiro Tsukada

  3. Department of General Surgery, Faculty of Medicine, Niigata University, Niigata, Japan

    Tadashi Tanabe

Authors
  1. Shigeaki Sawada
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  2. Akio Kusama
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  3. Naohiro Shimakage
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  4. Tadashi Tanabe
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  5. Takanao Okamura
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  6. Katsuyuki Uchida
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  7. Kazuhiro Tsukada
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  8. Kenzo Tajima
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Sawada, S., Kusama, A., Shimakage, N. et al. Successful Management of Esophageal Perforation Diagnosed 3 Days After Injury Caused by an Explosion in the Workplace: Report of a Case. Surg Today 36, 549–553 (2006). https://doi.org/10.1007/s00595-006-3199-4

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  • DOI: https://doi.org/10.1007/s00595-006-3199-4

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