An unusual type of severe barotrauma owing to automobile tire biting in a child

OZGUNER I., Savas C. , YEŞILDAĞ A.

JOURNAL OF PEDIATRIC SURGERY, vol.39, no.10, pp.1584-1585, 2004 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 39 Issue: 10
  • Publication Date: 2004
  • Doi Number: 10.1016/j.jpedsurg.2004.06.035
  • Title of Journal : JOURNAL OF PEDIATRIC SURGERY
  • Page Numbers: pp.1584-1585

Abstract

The authors report a rare case of a barotraumatic pneumothorax and pneumomediastinum associated with esophageal perforation and orbital emphysema. A 4-year-old boy presented with sudden respiratory distress after blowout of a defective tire that he bit. Computed tomography scan showed right pneumothorax and bilateral orbital emphysema. A linear rupture has been detected in the cervical esophagus in esophagoscopy. Stamm gastrostomy and tube thoracostomy were performed, and broad-spectrum antibiotics have been introduced. Oral feeding started 23 days after blowout of tire, and the patient was discharged 50 days after injury. (C) 2004 Elsevier Inc. All rights reserved.