Conservative treatment in isolated penetrating cervical esophageal injury: case report

• Autor(a) principal: Epstein,Marina Gabrielle
• Data de Publicação: 2012
• Outros Autores: Costa,Sara Venoso, Carvalho,Filipe Gusmão, Pasquetti,Aline Fioravanti, Arsie Neto,Herico, Pedroso,Pamella Tung, Simões,Cesar Augusto, Pinus,Jaques, Ribeiro Junior,Marcelo Augusto Fontenelle
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Einstein (São Paulo)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082012000400019
• topic: Esophageal perforation; Upper gastrointestinal tract; Esophagus/injuries; Esophagus/radiography; Case reports

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.