In an unusual case of spontaneous rupture of the midthoracic esophagus by direct compressed air blast, a sudden jet of air directed from an exploding automobile tire entered the oropharynx, creating a massive increase in the oral and upper esophageal pressure with a laceration of the buccal mucosa of the lower lip and a rupture of the midthoracic esophagus. The patient was treated successfully with transthoracic primary repair of the rupture. Surgical intervention is the treatment of choice.
Badruddoja M, MacGregor JK. Rupture of the Intrathoracic Esophagus by Compressed Air Blast. Arch Surg. 1971;103(3):417-419. doi:10.1001/archsurg.1971.01350090099023