title: Lateral Traumatic Esophago-Cutaneous fistula in a Child; Platelet-Rich Fibrin Glue Challenge.
abstract: BACKGROUND
  The endoscopic fibrin glue or platelet-rich fibrin glue (PRFG) injection is an easy, safe and effective technique for the fistula. So far, the use of fibrin glue has been limited to selected cases.
  
  
  METHODS
  Our case is a three years old male child with a neck trauma resulting in a Esophago-Cutaneous fistula after a 3 month period of follow up we decided to use PRFG for this lesion after fine debridement of the fistula tract, and the surrounding fibrosed tissue twice with a one week interval. Our visit after two weeks showed complete recovery and normal general condition. A contrast study revealed complete disappearance of the lesion.
  
  
  CONCLUSIONS
  In our case the PRFG completely resolved a long-standing fistula resistant to exhaustive conservative management. The treatment with PRFG has been proved to be effective in the selected cases and it seems that traumatic esophago-cutaneous fistula may be one of these selections. Application of fibrin sealant should be considered early in the management of these difficult clinical problems.
authors: Pediatric Surgery Department, Sheikh Academic Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors: Marjan
authors: M
authors: Joudi
authors: Daryoush
authors: D
authors: Hamidi Alamdari
authors: Mehran
authors: M
authors: Hyradfar
authors: Hamid Reza
authors: HR
authors: Rahimi
authors: Elena
authors: E
authors: Saremi
authors: Mahdi
authors: M
authors: Fathi
authors: Reza
authors: R
authors: Shojaeian
authors: George
authors: G
authors: Koliakos
keywords: Fistula; Wounds and Injuries
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