Uncommon esophagic lesion associated with brachiocephalic trunk lesion in patient victim of blunt trauma's report case

Abstract

Uncommon esophagic lesion associated with brachiocephalic trunk lesion in patient victim of blunt trauma’s report case. A 19-year-old man victim of an automobilistic accident without seat belt arrived at PSHC-FMUSP conscient, oriented and hemodynamically stable. Early exams evidenciated widened mediastinum. The arteriography showed sugestive image of a brachiocephalic pseudoaneurysm and the endoscopy showed two 6cm longitudinal lacerations in the lateral esophageal wall that preserved only mucosa. All the lesions were surgically repaired. The patient’s course was relatively uneventful and he was discharged on the postoperative day 10. In the review of literature, esophagic and brachiocephalic lesions are rare. The association of them, such as the kind of esophagic lesion found in this report case were not mentioned in the studied literature.