{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:56:57Z","timestamp":1787320617230,"version":"build-2736575974"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T00:00:00Z","timestamp":1702512000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Blunt neck trauma is an uncommon, life-threatening injury that may result in tracheoesophageal transection. The manifestations of these traumas are rather vague and nonspecific; therefore, the injury may be missed, if a careful attention is not paid.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 23-year-old young man presented with complete transection of the trachea and concurrent esophageal injury, caused by clothesline-type blunt neck trauma, while riding a motorcycle. On early examination, the patient was hemodynamically stable; however, after a few minutes, he manifested respiratory distress and progressive subcutaneous emphysema. The airway immediately was secured by inserting an endotracheal tube in distal part of the transected trachea. Afterward, the patient underwent primary repair of transected trachea and esophagus, and tracheostomy. The post-operative period was uneventful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The blunt traumas to neck, which lead to complete transection of the trachea and the esophagus, are rare injuries. Clothesline-type injuries are the principal reasons for cricotracheal separation and further esophageal injuries. In most cases, subcutaneous emphysema is a sign of significant trauma to the aerodigestive tract. After securing the patient's airway, early surgical repair of the transected trachea and esophagus reduces the risk of further complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This report discusses a rare, life-threatening presentation of blunt neck trauma called clothesline-type injury, that led to complete transection of the trachea and concurrent esophageal rupture. Establishing a secure airway for those patients with tracheal injuries is required. Repairing the injured trachea and esophagus primarily at the earliest possible time can improve the patient prognosis and prevent further complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.109173","type":"journal-article","created":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T12:10:38Z","timestamp":1702987838000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Combined tracheoesophageal transection following a life-threatening clothesline-type blunt neck trauma: A case report"],"prefix":"10.1097","volume":"114","author":[{"given":"Ramin","family":"Ebrahimian","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maziar","family":"Moayerifar","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahboobeh","family":"Gholipour","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maede","family":"Mohammadian","sequence":"additional","affiliation":[{"name":"School of Medicine, Guilan University of Medical Sciences, Rasht, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mani","family":"Moayerifar","sequence":"additional","affiliation":[{"name":"Razi Clinical Research Development Unit, Guilan University of medical Sciences, Rasht, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"4","key":"R1-85-20260325","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.joms.2006.04.044","article-title":"Management of penetrating neck injuries: a new paradigm for civilian trauma","volume":"65","author":"Bell,","year":"2007","journal-title":"J. Oral Maxillofacial Surg. Off. J. Am. Assoc. Oral Maxillofacial Surgeons"},{"issue":"6","key":"R2-85-20260325","article-title":"Complete cricotracheal transection due to blunt neck trauma without significant symptoms","volume":"2017","author":"Ershadi,","year":"2017","journal-title":"J. Surg. Case Reports"},{"issue":"5","key":"R3-85-20260325","doi-asserted-by":"crossref","first-page":"1896","DOI":"10.1016\/j.athoracsur.2011.04.085","article-title":"Transection of the aerodigestive tract after blunt neck trauma","volume":"92","author":"Hamid,","year":"2011","journal-title":"Ann. Thorac. Surg."},{"key":"R4-85-20260325","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha,","year":"2020","journal-title":"Int. J. Surg. (Lond. England)"},{"issue":"3","key":"R5-85-20260325","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/j.emc.2007.06.006","article-title":"Evaluation and management of neck trauma","volume":"25","author":"Rathlev,","year":"2007","journal-title":"Emerg. Med. Clin. North Am."},{"issue":"2","key":"R6-85-20260325","doi-asserted-by":"crossref","first-page":"210","DOI":"10.21037\/acs.2018.03.03","article-title":"Management of laryngotracheal trauma","volume":"7","author":"Moonsamy,","year":"2018","journal-title":"Annals Cardiothoracic Surg."},{"issue":"2","key":"R7-85-20260325","doi-asserted-by":"crossref","first-page":"117","DOI":"10.4103\/0974-2700.110774","article-title":"Combined tracheoesophageal transection after blunt neck trauma","volume":"6","author":"Hamid,","year":"2013","journal-title":"J. Emerg. Trauma Shock"},{"issue":"2","key":"R8-85-20260325","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1111\/pan.12791","article-title":"Airway management in laryngotracheal injuries from blunt neck trauma in children","volume":"26","author":"Chatterjee,","year":"2016","journal-title":"Paediatr. Anaesth."},{"issue":"2","key":"R9-85-20260325","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1007\/s00405-020-06140-2","article-title":"Cricotracheal separation: do not get fooled by what you see","volume":"278","author":"Elbadan,","year":"2021","journal-title":"Eur. Arch. Oto-Rhino-Laryngol. Off. J. Eur. Fed. Oto-Rhino-Laryngol. Soc. (EUFOS)"},{"issue":"03","key":"R10-85-20260325","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1055\/s-2005-922858","article-title":"Combined laryngotracheal separation and esophageal injury following blunt neck trauma","volume":"21","author":"Bernat,","year":"2005","journal-title":"Facial Plast. Surg."},{"issue":"1","key":"R11-85-20260325","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1097\/01.pec.0000195762.04823.d4","article-title":"Clothesline injury mechanism associated with all-terrain vehicle use by children","volume":"22","author":"Graham,","year":"2006","journal-title":"Pediatr. Emerg. Care"},{"issue":"12","key":"R12-85-20260325","doi-asserted-by":"crossref","first-page":"1817","DOI":"10.1016\/j.ijporl.2009.08.022","article-title":"Complete traumatic laryngotracheal disruption\u2014a case report and review","volume":"73","author":"Smith,","year":"2009","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"issue":"5","key":"R13-85-20260325","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1111\/j.1445-2197.2006.03738.x","article-title":"Tracheobronchial injuries from blunt trauma","volume":"76","author":"Wong,","year":"2006","journal-title":"ANZ J. Surg."},{"issue":"7","key":"R14-85-20260325","first-page":"2123","article-title":"Management of penetrating neck injuries at a London trauma centre","volume":"270","author":"Siau,","year":"2013","journal-title":"Eur Arch Oto-rhino-laryngol Off J Eur Fed Oto-Rhino-Laryngol Soc (EUFOS) German Soc Oto-Rhino-Laryngol Head Neck Surgery"},{"issue":"9","key":"R15-85-20260325","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.bjae.2021.04.002","article-title":"Initial management of blunt and penetrating neck trauma","volume":"21","author":"Shilston,","year":"2021","journal-title":"BJA Educ."},{"key":"R16-85-20260325","first-page":"2","article-title":"Survival after complete laryngotracheal separation: a case report","author":"Serbousek,","year":"2016","journal-title":"Glob J Otolaryngol"},{"issue":"6","key":"R17-85-20260325","doi-asserted-by":"crossref","first-page":"459","DOI":"10.5505\/tjtes.2014.32744","article-title":"Complete cervical tracheal transection caused by blunt neck trauma: case report","volume":"20","author":"Paik,","year":"2014","journal-title":"Ulus. Travma Acil Cerrahi Derg."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223013020?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223013020?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.109173","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:19:55Z","timestamp":1774433995000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.109173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":17,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2023.109173","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-09-26","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}