Lateral Traumatic Esophago-Cutaneous fistula in a Child; Platelet-Rich Fibrin Glue Challenge.
Τίτλος | Lateral Traumatic Esophago-Cutaneous fistula in a Child; Platelet-Rich Fibrin Glue Challenge. |
Publication Type | Journal Article |
Year of Publication | 2013 |
Authors | Joudi, M., Alamdari D. Hamidi, Hyradfar M., Rahimi H. Reza, Saremi E., Fathi M., Shojaeian R., & Koliakos G. |
Journal | Iran Red Crescent Med J |
Volume | 15 |
Issue | 3 |
Pagination | 256-9 |
Date Published | 2013 Mar |
ISSN | 2074-1804 |
Abstract | INTRODUCTION: 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.CASE REPORT: 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. |
DOI | 10.5812/ircmj.7975 |
Alternate Journal | Iran Red Crescent Med J |
PubMed ID | 23984009 |
PubMed Central ID | PMC3745758 |