title: Conservative treatment in isolated penetrating cervical esophageal injury: case report.
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.
authors: General Surgery Residency Program, Universidade de Santo Amaro, São Paulo, SP, Brazil.
authors: Marina Gabrielle
authors: MG
authors: Epstein
authors: Sara Venoso
authors: SV
authors: Costa
authors: Filipe Gusmão
authors: FG
authors: Carvalho
authors: Aline Fioravanti
authors: AF
authors: Pasquetti
authors: Herico
authors: H
authors: Arsie Neto
authors: Pamella Tung
authors: PT
authors: Pedroso
authors: Cesar Augusto
authors: CA
authors: Simões
authors: Jaques
authors: J
authors: Pinus
authors: Marcelo Augusto Fontenelle
authors: MA
authors: Ribeiro Junior
mesh_terms: D000328:Adult; D004939:Esophageal Perforation / Q000601:surgery*; D004947:Esophagus / Q000293:injuries*; D006801:Humans; D008297:Male; D019838:Neck Injuries / Q000601:surgery; D014948:Wounds, Gunshot / Q000601:surgery*