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Ischemic Esophageal Necrosis Secondary to Traumatic Aortic Transection

Published bySusanto Dharmawijaya Modified over 5 years ago

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Presentation on theme: "Ischemic Esophageal Necrosis Secondary to Traumatic Aortic Transection"— Presentation transcript:

1 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 (December 2004) DOI: /j.athoracsur

2 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  , DOI: ( /j.athoracsur )

3 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  , DOI: ( /j.athoracsur )

4 Fig 3 Upper endoscopy. Ulceration and necrosis with fistula formation in the midesophagus. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )

5 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  , DOI: ( /j.athoracsur )

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