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Conservative treatment in isolated penetrating cervical esophageal injury: case report

2012; Instituto Israelita de Ensino e Pesquisa Albert Einstein; Volume: 10; Issue: 4 Linguagem: Inglês

10.1590/s1679-45082012000400019

2317-6385

Marina Gabrielle Epstein, Sara Venoso Costa, Filipe Gusmão Carvalho, Aline Fioravanti Pasquetti, Herico Arsie Neto, Pamella Tung Pedroso, César Augusto Simões, J Pinus, Marcelo Augusto Fontenelle Ribeiro,

Foreign Body Medical Cases

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.