Assuntos
Viagem Aérea , Cisto Broncogênico/complicações , Embolia Aérea/etiologia , Adulto , Humanos , MasculinoRESUMO
INTRODUCTION: Blunt esophageal injury is extremely rare event. However, it is a potential morbid injury unless managed early. PRESENTATION OF CASE: We report a rare case of blunt esophageal injury for a 28-year old male who presented with history of fall of heavy object over the right side of the chest. Diagnostic work up including chest X-ray, computerized tomography scans and gastrografin esophagogram revealed lower esophageal rupture. Right mini-thoracotomy with esophageal repair was performed. Postoperative course was uneventful. DISCUSSION: The exact mechanism of blunt esophageal injury remains uncertain. This report described a unique location of esophageal rupture after blunt trauma that happened on the right side. Diagnosis of esophageal injury needs high index of suspicion and accurate diagnostic workup. CONCLUSION: Prompt diagnosis and management are the key for better prognosis in patients with blunt esophageal injury.
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Gastrointestinal complications after open-heart surgery are rare but may increase mortality rate significantly. We are presenting a rare complication of liver laceration after coronary bypass operation. The patient is a 57-year-old man who underwent urgent Coronary Artery Bypass Grafting operation (CABG). Liver laceration and free intra-peritoneal hemorrhage was discovered to be the result of chest tubes insertion, and resulted in drop of hemoglobin and hemodynamic instability. The hemorrhage was surgically controlled, and the patient made full recovery and was sent home. This case report emphasizes that when bleeding of unknown origin occurs after cardiac surgery, intra-abdominal bleeding should be considered.
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Successful use of transit time flowmetry in robotic totally endoscopic coronary bypass operation is reported to demonstrate its applicability and ease of use in evaluating the function of grafts in such operations.