Successful Repair of Combined Disruption of the Trachea, Esophagus and Spinal Cord Following Blunt Chest Trauma : Case Report

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A 32-year-old man sustained a long longitudinal rupture of the trachea and injury of the lamina muscularis of the esophagus and spinal cord. Emergency operation was begun under naso-tracheal intubation placed at the proximal portion of the ruptured trachea, and a sterile single-lumen flexible endotracheal tube was then intubated through the ruptured site following postero-lateral thoracotomy. The site was closed with eight interrupted sutures with the endotracheal tube in position, and five further sutures were placed during brief periods of apnea while the endotracheal tube was temporarily extubated. Following an uneventful post-operative course, the patient subsequently underwent anterior spinal fusion with a bone graft.