PubMed · 7425709
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C L Roper. 1980. The stapling device.. https://doi.org/10.1016/s0003-4975(10)61265-9
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STUDY DESIGN: This is a report of a case. OBJECTIVE: To document the occurrence and characteristics of vertebral osteomyelitis after blunt traumatic esophageal perforation. SUMMARY OF BACKGROUND DATA: Vertebral osteomyelitis in association with esophageal rupture has been reported after penetrating, but not blunt traumatic injuries. METHODS: All of the listed authors were involved in the care of this patient. All medical records, laboratory and radiologic investigations, and related literature were reviewed. RESULTS: The mixture of oral aerobic and anaerobic organisms inoculated into vertebral bone after blunt traumatic esophageal perforation caused a rapidly destructive vertebral osteomyelitis reminiscent of bite-wound injuries of the hand. CONCLUSIONS: Awareness of the occurrence of blunt traumatic esophageal perforation and the associated risk of vertebral osteomyelitis may lead to earlier detection and treatment of these infections.
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