Barotraumatic Perforation of Pharyngoesophagus by Explosion of a Bottle into the Mouth

Pharyngoesophageal perforation from an exploding bottle is an extremely rare injury. To date, twenty-four cases have been documented in English literature. In this study, we reported two additional cases of pharyngoesophageal perforation by a bottle exploding in the mouth. Explosion of the bottle occurred when the patients removed the cap of a home-made wine bottle with their teeth, which resulted in pharyngoesophageal perforation. The patients were managed by conservative treatment and operative repair, respectively. Both patients had an uneventful recovery. Possible mechanisms and preventive measures are discussed in this study, along with a review of the literature.

[1]  R. Rubikas.  Pharyngeal and oesophageal injuries. , 2004, Injury.

[2]  S. Singhal,et al.  Evolving options in the management of esophageal perforation. , 2004, The Annals of thoracic surgery.

[3]  J. Meyerovitch,et al.  Pneumatic rupture of the esophagus caused by carbonated drinks , 2004, Pediatric Radiology.

[4]  C. Bailey,et al.  Pharyngeal trauma in children – accidental and otherwise , 1995, The Journal of Laryngology & Otology.

[5]  D. Fliss,et al.  Cervical subcutaneous emphysema due to oropharyngeal barotrauma. , 1995, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[6]  S. Segal,et al.  Oral Blast Injury Caused by an Accident , 1993, The Annals of otology, rhinology, and laryngology.

[7]  J. Bar-Maor,et al.  Pneumatic perforation of the esophagus in children. , 1992, Journal of pediatric surgery.

[8]  H. J. du Plessis,et al.  Exploding bottle tops , 1986, The British journal of surgery.

[9]  M. Vallis,et al.  The exploding bottle top and oropharyngeal injuries , 1986, The British journal of surgery.

[10]  D. Milford,et al.  Accidental pharyngeal rupture from explosion of a bottle into the mouth. , 1986, Injury.

[11]  C. Hughes,et al.  Pneumatic rupture of the posterior pharyngeal wall. , 1986, The Australian and New Zealand journal of surgery.

[12]  P. Beale,et al.  Pharyngoesophageal barotrauma in children: a report of six cases. , 1984, Journal of Thoracic and Cardiovascular Surgery.

[13]  G. Kenyon,et al.  Accidental oropharyngeal injury. , 1982, British medical journal.

[14]  F. Speer.  Pop bottle explosions. , 1977, JAMA.

[15]  R. Fisk,et al.  Accidental pneumatic rupture of the esophagus. , 1977, The Journal of thoracic and cardiovascular surgery.

[16]  W. L. Buntain,et al.  Traumatic pneumatic disruption of the esophagus. , 1972, The Journal of thoracic and cardiovascular surgery.

[17]  S. F. Salinas Izaguirre,et al.  Spontaneous rupture of the esophagus. , 1970, Surgery.

[18]  A. R. Grant,et al.  Perforation of the esophagus from external trauma or blast injuries. , 1967, Diseases of the chest.

[19]  S. Burcher,et al.  Accidental pneumatic rupture of oesophagus and stomach. , 1961, Lancet.

[20]  Bernatz Pe.  Management of esophageal perforations , 1956 .

[21]  Mackler Sa.  Spontaneous rupture of the esophagus; an experimental and clinical study. , 1952 .

[22]  S. Mackler.  Spontaneous rupture of the esophagus; an experimental and clinical study. , 1952, Surgery, gynecology & obstetrics.

[23]  R. Edwards.  Cardio-oesophageal obstruction. , 1950, Lancet.