Ischemic Esophageal Necrosis Secondary to Traumatic Aortic Transection

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Presentation transcript:

Ischemic Esophageal Necrosis Secondary to Traumatic Aortic Transection Nam-Hee Park, MD, Jae-Hyun Kim, MD, Dae-Yung Choi, MD, Sae-Young Choi, MD, Chang-Kwon Park, MD, Kwang-Sook Lee, MD, Seong-Wook Han, MD, Young-Sun Yoo, MD  The Annals of Thoracic Surgery  Volume 78, Issue 6, Pages 2175-2178 (December 2004) DOI: 10.1016/j.athoracsur.2003.07.003

Fig 1 Initial chest computed tomographic scan. The leakage of contrast media compresses the trachea and esophagus. The lumen of the esophagus cannot be seen. The Annals of Thoracic Surgery 2004 78, 2175-2178DOI: (10.1016/j.athoracsur.2003.07.003)

Fig 2 The follow-up chest computed tomographic scan. It shows diffuse mediastinitis with abscess and empyema as a result of esophageal perforation. The Annals of Thoracic Surgery 2004 78, 2175-2178DOI: (10.1016/j.athoracsur.2003.07.003)

Fig 3 Upper endoscopy. Ulceration and necrosis with fistula formation in the midesophagus. The Annals of Thoracic Surgery 2004 78, 2175-2178DOI: (10.1016/j.athoracsur.2003.07.003)

Fig 4 Microscopic examination shows mostly necrotic tissue composed of fibrinoid material, lymphocytes, neutrophils, smooth muscle, and proliferating small vessels. There is no mucosal gland. (Hematoxylin & eosin, original magnification ×40). The Annals of Thoracic Surgery 2004 78, 2175-2178DOI: (10.1016/j.athoracsur.2003.07.003)