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Epstein MG, Costa SV, Carvalho FG, Pasquetti AF, Arsie Neto H, Pedroso PT, Simões CA, Pinus J, Ribeiro Junior MAF. Conservative treatment in isolated penetrating cervical esophageal injury: case report. EINSTEIN-SAO PAULO 2012; 10:505-7. [DOI: 10.1590/s1679-45082012000400019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2011] [Accepted: 03/03/2012] [Indexed: 11/22/2022] Open
Abstract
Non-iatrogenic traumatic cervical esophageal perforations are usually hard to manage in the clinical setting, and often require a careful and individualized approach. The low incidence of this particular problem leads to a restricted clinical experience among most centers and justify the lack of a standardized surgical approach. Conservative treatment of esophageal perforation remains a controversial topic, although early and sporadic reports have registered the efficacy of non-operative care, especially following perforation in patients that do not sustain any other kind of injuries, and who are hemodynamically stable and non-septic. We report a case of a patient sustaining a single cervical gunshot wound compromising the cervical esophagus and who was treated exclusively with cervical drainage, enteral support and antibiotics.
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Affiliation(s)
| | | | | | | | | | | | | | - Jaques Pinus
- Universidade Federal de São Paulo, Brazil; Hospital Municipal Dr. Moyses Deutsch, Brazil
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Traumatic esophageal laceration presenting as a tongue laceration. J Acute Med 2011. [DOI: 10.1016/j.jacme.2011.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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