PMID: 11329739May 2, 2001Paper

Penetrating neck trauma: hidden injuries-oesophagospinal traumatic fistula

Journal of the Royal College of Surgeons of Edinburgh
A I RivkindH Belzberg

Abstract

Injuries to the eosophagus are notoriously difficult to diagnose pre-operatively. Patients with such injuries usually will not have pre-operative signs and symptoms to suggest the presence of this type of injury. These injuries require a high index of suspicion, appreciation of the presence of injuries to adjacent structures, and an understanding that the clinical and radiological findings may evolve over a period of time. We describe a child with a rare presentation of an acute traumatic esophageal spinal fistula due to a bullet wound. This complicated injury required a variety of diagnostic modalities, including contrast radiography, multiple computerised tomography (CT) scans and operative assessments to make the definitive diagnosis.

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