Oesophagocutaneous fistula is a very rare disorder. No case of oesophagocutaneous fistula after blunt trauma has been reported. In this report we present a case of 25-year-old nursing student seen at the Lahore General Hospital, Lahore, with a history of blunt trauma to the neck. She was initially diagnosed with supra-sternal abscess. A few days after the incision and drainage of this abscess, she developed discharge of water and food particles from the wound site. It was investigated and diagnosed as oesophagocutaneous fistula. Her neck exploration was done and fistulous tract was found communicating with the upper mid-esophagus. The tract was excised and sent for biopsy. Histopathology revealed non- caseating granulomas with no evidence of malignancy. A gene X-pert was done to rule out tuberculosis and it came out to be negative. Postoperatively, the patient is living a normal life. This is the first of its kind case of oesophagocutaneous fistula reported from our part of the world.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.5455/JPMA.39241 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Early Esophageal Perforation Following Anterior Cervical Discectomy and Fusion Treated With Controlled Esophageal Fistula and TachoSil® Coverage: A Case Report.
Cureus
September 2024
Department of Surgery, Dr. Sulaiman Al-Habib Medical Group, Buraidah, SAU.
Anterior cervical discectomy and fusion (ACDF) is a commonly performed procedure. One of its most feared complications is esophageal injury (EI). There is no standard approach on how to treat these injuries.
View Article and Find Full Text PDFStable Gastric Pentadecapeptide BPC 157 and Intestinal Anastomoses Therapy in Rats-A Review.
Pharmaceuticals (Basel)
August 2024
Clinic of General and Abdominal Surgery, Clinical Center University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina.
By introducing the healing of many distinctive anastomoses by BPC 157 therapy, this review practically deals with the concept of the resection and reconnection of the hollow parts of the gastrointestinal tract as one of the cornerstones of visceral surgery. In principle, the healing of quite distinctive anastomoses itself speaks for applied BPC 157 therapy, in particular, as a way in which the therapy of anastomoses can be successfully approached and carried out. Some of the anastomoses implicated were esophagogastric, colocolonic, jejunoileal, and ileoileal anastomoses, along with concomitant disturbances, such as esophagitis, sphincter dysfunction, failed intestinal adaptation, colitis, short bowel syndrome, major vessel occlusion, NO-system, and prostaglandins-system dysfunction, which were accordingly counteracted as well, and, finally, findings concerning other anastomoses healing (i.
View Article and Find Full Text PDFPlatelet-rich plasma therapy for postoperative esophageal fistula in a pediatric patient.
J Surg Case Rep
May 2024
Pediatric Surgery Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna 40138, Italy.
Postoperative management of esophagocutaneous fistulas in pediatric patients is challenging, often resulting in prolonged hospitalization and increased morbidity. Platelet-rich plasma (PRP) has emerged as a promising adjunctive treatment for such complications. We present the case of a 7-month-old infant who developed an esophago-cutaneous fistula following esophagocoloplasty for esophageal atresia type A.
View Article and Find Full Text PDFTreatment of recalcitrant esophagocutaneous fistula by platelet-rich-plasma-fibrin glue: A case study.
Int J Surg Case Rep
March 2024
Vascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address:
Article Synopsis
- Recalcitrant esophagocutaneous fistula is a rare complication following neck surgery, and its management remains controversial; this report discusses a potential treatment method.
- A 65-year-old woman developed a chronic fistula after surgery for a branchial cleft cyst, which failed to heal for six months despite surgical intervention.
- The study found that using platelet-rich plasma and fibrin glue (PRP-FG) injected into the fistula tract was effective in promoting healing, resulting in closure of the fistula within a week.
Endoluminal wound VAC therapy for the management of esophageal trauma: A case series.
Trauma Case Rep
February 2023
University of New Mexico Hospital, Department of Acute Care and Trauma Surgery, United States of America.
Esophageal trauma is rare and associated with high morbidity and mortality. Management can be challenging. Operative intervention involves exposure of the esophageal injury followed by primary two-layer repair with or without a buttressing muscle flap and wide local drainage.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!