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This is further exacerbated by delayed diagnosis and management as symptoms and signs are often masked by or ascribed to more common blunt thoracic injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case report<\/jats:title><jats:p>We present a case of a distal oesophageal perforation, secondary to a fall from a third storey window, which was masked by concomitant thoracic injuries and missed on both computed tomography imaging and laparotomy. The delay in his diagnosis significantly worsened the patient's recovery by allowing the development of an overwhelming chest sepsis that contributed to his death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Early identification of an intrathoracic oesophageal perforation requires deliberate consideration and is essential to ensure a favorable outcome. Treatment should be individualised taking into account the nature of the oesophageal defect, time elapsed from injury and the patient's general condition.<\/jats:p><\/jats:sec>","DOI":"10.1186\/1749-7922-2-8","type":"journal-article","created":{"date-parts":[[2007,5,2]],"date-time":"2007-05-02T15:31:06Z","timestamp":1178119866000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Distal thoracic oesophageal perforation secondary to blunt trauma: Case report"],"prefix":"10.1186","volume":"2","author":[{"given":"Dirk C","family":"Strauss","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruchi","family":"Tandon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert C","family":"Mason","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2007,3,21]]},"reference":[{"key":"45_CR1","doi-asserted-by":"publisher","first-page":"784","DOI":"10.1097\/00005373-198508000-00009","volume":"25","author":"MS Glatterer","year":"1985","unstructured":"Glatterer MS, Toon RS, Ellestad C, McFee AS, Rogers W, Macj JW, Trinkle KJ, Grover FL: Management of blunt and penetrating external esophageal trauma. 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