Abstract
Accidental barotraumatic perforation of oesophagus is one of the rare causes of oesophageal injury reported in literature. A 20-year-old young man, truck driver by occupation, was struck in an accidental explosion of truck tyre in an automobile repair workshop. He suffered left pneumothorax which was treated with tube thoracostomy at a local hospital. He presented to us with left pyopneumothorax and worsening sepsis after 7 days of injury. Computed tomography chest detected left sided intra-thoracic oesophageal perforation at T8-T9 level. Surgical exploration revealed 9-cm linear tear in thoracic oesophagus. The patient underwent segmental oesophageal resection with proximal cervical oesophagostomy and distal oesophageal exclusion, tube gastrostomy and feeding jejunostomy. He recovered well and was discharged in stable condition.
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