Esophageal blast injury caused by fireworks in a seven-year-old male child. A rare case report

Background esophageal blast injuries are uncommon and are usually caused by gunshots, but they have never been reported in the medical literature as being caused by fireworks. Moreover, most available clinical evidence supports early surgical management without sufficient evidence about the benefits of conservative management. Case presentation a seven-year-old boy had fired a small firework and immediately had swallowed it, after that he subsequently developed extensive facial, neck, and upper chest swelling. In the emergency department, the patient was hemodynamically stable, and there was no history of dysphagia, dyspnea, or hoarseness. He was evaluated radiologically via CT scans and esophagograms, which revealed mediastinal pneumothorax and extensive pneumosubcutaneous, as well as the formation of an esophageal diverticulum and a pseudo-Pathy within the esophageal wall. We decided to adopt conservative esophageal management with discontinuous oral feeding. One month later, upper gastrointestinal endoscopy was performed, which demonstrated improvement in the degree of esophageal injury, and then oral feeding was gradually reintroduced until complete dependence was achieved. Conclusion esophageal blast injuries may result from extremely rare causes, such as fireworks, and that can be serious. However, conservative management can be provided when a patient has hemodynamically stable and that could have benefits, such as a reduced recovery time and complications of esophageal injury.