Rupture of the Intrathoracic Esophagus by Compressed Air Blast

Abstract
In an unusual case of spontaneous rupture of the midthoracic esophagus by direct compressed air blast, a sudden jet of air directed from an exploding automobile tire entered the oropharynx, creating a massive increase in the oral and upper esophageal pressure with a laceration of the buccal mucosa of the lower lip and a rupture of the midthoracic esophagus. The patient was treated successfully with transthoracic primary repair of the rupture. Surgical intervention is the treatment of choice.

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