einstein (São Paulo). 01/Dec/2012;10(4):505-7.

Conservative treatment in isolated penetrating cervical esophageal injury: case report

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

DOI: 10.1590/S1679-45082012000400019

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.

Conservative treatment in isolated penetrating cervical esophageal injury: case report

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