An interesting and rare case of traumatic oesophagocutaneous fistula
Oesophagocutaneous fistula is a very rare disorder. No case of oesophagocutaneous fistula after blunt trauma has been reported. In this report we present a case of 25-year-old nursing student seen at the Lahore General Hospital, Lahore, with a history of blunt trauma to the neck. She was initially d...
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Veröffentlicht in: | Journal of the Pakistan Medical Association 2020-08, Vol.70 (8), p.1457 |
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creator | Fatima, Anam Malik, Awais Amjad Akram, Muhammad Shahzad Tayyab, Muhammad Hannan Afzal, Muhammad Farooq |
description | Oesophagocutaneous fistula is a very rare disorder. No case of oesophagocutaneous fistula after blunt trauma has been reported. In this report we present a case of 25-year-old nursing student seen at the Lahore General Hospital, Lahore, with a history of blunt trauma to the neck. She was initially diagnosed with supra-sternal abscess. A few days after the incision and drainage of this abscess, she developed discharge of water and food particles from the wound site. It was investigated and diagnosed as oesophagocutaneous fistula. Her neck exploration was done and fistulous tract was found communicating with the upper mid-esophagus. The tract was excised and sent for biopsy. Histopathology revealed non- caseating granulomas with no evidence of malignancy. A gene X-pert was done to rule out tuberculosis and it came out to be negative. Postoperatively, the patient is living a normal life. This is the first of its kind case of oesophagocutaneous fistula reported from our part of the world. |
doi_str_mv | 10.5455/JPMA.39241 |
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No case of oesophagocutaneous fistula after blunt trauma has been reported. In this report we present a case of 25-year-old nursing student seen at the Lahore General Hospital, Lahore, with a history of blunt trauma to the neck. She was initially diagnosed with supra-sternal abscess. A few days after the incision and drainage of this abscess, she developed discharge of water and food particles from the wound site. It was investigated and diagnosed as oesophagocutaneous fistula. Her neck exploration was done and fistulous tract was found communicating with the upper mid-esophagus. The tract was excised and sent for biopsy. Histopathology revealed non- caseating granulomas with no evidence of malignancy. A gene X-pert was done to rule out tuberculosis and it came out to be negative. Postoperatively, the patient is living a normal life. This is the first of its kind case of oesophagocutaneous fistula reported from our part of the world.</description><identifier>ISSN: 0030-9982</identifier><identifier>DOI: 10.5455/JPMA.39241</identifier><identifier>PMID: 32794508</identifier><language>eng</language><publisher>Pakistan: Knowledge Bylanes</publisher><subject>Abscess ; Adult ; Care and treatment ; Case studies ; Cutaneous Fistula - etiology ; Cutaneous Fistula - surgery ; Diagnosis ; Drainage ; Female ; Humans ; Neck ; Tracheoesophageal fistula ; Wounds, Nonpenetrating</subject><ispartof>Journal of the Pakistan Medical Association, 2020-08, Vol.70 (8), p.1457</ispartof><rights>COPYRIGHT 2020 Knowledge Bylanes</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32794508$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fatima, Anam</creatorcontrib><creatorcontrib>Malik, Awais Amjad</creatorcontrib><creatorcontrib>Akram, Muhammad Shahzad</creatorcontrib><creatorcontrib>Tayyab, Muhammad Hannan</creatorcontrib><creatorcontrib>Afzal, Muhammad Farooq</creatorcontrib><title>An interesting and rare case of traumatic oesophagocutaneous fistula</title><title>Journal of the Pakistan Medical Association</title><addtitle>J Pak Med Assoc</addtitle><description>Oesophagocutaneous fistula is a very rare disorder. No case of oesophagocutaneous fistula after blunt trauma has been reported. In this report we present a case of 25-year-old nursing student seen at the Lahore General Hospital, Lahore, with a history of blunt trauma to the neck. She was initially diagnosed with supra-sternal abscess. A few days after the incision and drainage of this abscess, she developed discharge of water and food particles from the wound site. It was investigated and diagnosed as oesophagocutaneous fistula. Her neck exploration was done and fistulous tract was found communicating with the upper mid-esophagus. The tract was excised and sent for biopsy. Histopathology revealed non- caseating granulomas with no evidence of malignancy. A gene X-pert was done to rule out tuberculosis and it came out to be negative. Postoperatively, the patient is living a normal life. This is the first of its kind case of oesophagocutaneous fistula reported from our part of the world.</description><subject>Abscess</subject><subject>Adult</subject><subject>Care and treatment</subject><subject>Case studies</subject><subject>Cutaneous Fistula - etiology</subject><subject>Cutaneous Fistula - surgery</subject><subject>Diagnosis</subject><subject>Drainage</subject><subject>Female</subject><subject>Humans</subject><subject>Neck</subject><subject>Tracheoesophageal fistula</subject><subject>Wounds, Nonpenetrating</subject><issn>0030-9982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkEtLxDAUhbNQnHF04w-QgOCuNY-mbZZlfDOiC12X2zTpRNpkaNKF_97CKDggd3Hh3O8cDhehC0pSkQlx8_z2UqVcsoweoSUhnCRSlmyBTkP4JITlgpATtOCskJkg5RLdVg5bF_WoQ7Suw-BaPMKosYKgsTc4jjANEK3CXge_20Ln1RTBaT8FbGyIUw9n6NhAH_T5z16hj_u79_Vjsnl9eFpXm6RjRR4TMCA4LxVpgBdUlhlhGVcUTG5MQ0E3ijdZORcrtJGMNEbShraKzIdMSU35Cl3tczvodW2d8XM7Ndig6irnjAohSD5T6T_UPK0erPJOGzvrB4brP4athj5ug--naL0Lh-DlHtxNzaDbejfaAcav-ved_BvX6HMB</recordid><startdate>20200831</startdate><enddate>20200831</enddate><creator>Fatima, Anam</creator><creator>Malik, Awais Amjad</creator><creator>Akram, Muhammad Shahzad</creator><creator>Tayyab, Muhammad Hannan</creator><creator>Afzal, Muhammad Farooq</creator><general>Knowledge Bylanes</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>20200831</creationdate><title>An interesting and rare case of traumatic oesophagocutaneous fistula</title><author>Fatima, Anam ; Malik, Awais Amjad ; Akram, Muhammad Shahzad ; Tayyab, Muhammad Hannan ; Afzal, Muhammad Farooq</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g276t-afa5338c0ba3719840243c1af6ffb1aebc3b489457ef920bf91b1dc0ebc4c9e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abscess</topic><topic>Adult</topic><topic>Care and treatment</topic><topic>Case studies</topic><topic>Cutaneous Fistula - etiology</topic><topic>Cutaneous Fistula - surgery</topic><topic>Diagnosis</topic><topic>Drainage</topic><topic>Female</topic><topic>Humans</topic><topic>Neck</topic><topic>Tracheoesophageal fistula</topic><topic>Wounds, Nonpenetrating</topic><toplevel>online_resources</toplevel><creatorcontrib>Fatima, Anam</creatorcontrib><creatorcontrib>Malik, Awais Amjad</creatorcontrib><creatorcontrib>Akram, Muhammad Shahzad</creatorcontrib><creatorcontrib>Tayyab, Muhammad Hannan</creatorcontrib><creatorcontrib>Afzal, Muhammad Farooq</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Journal of the Pakistan Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fatima, Anam</au><au>Malik, Awais Amjad</au><au>Akram, Muhammad Shahzad</au><au>Tayyab, Muhammad Hannan</au><au>Afzal, Muhammad Farooq</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An interesting and rare case of traumatic oesophagocutaneous fistula</atitle><jtitle>Journal of the Pakistan Medical Association</jtitle><addtitle>J Pak Med Assoc</addtitle><date>2020-08-31</date><risdate>2020</risdate><volume>70</volume><issue>8</issue><spage>1457</spage><pages>1457-</pages><issn>0030-9982</issn><abstract>Oesophagocutaneous fistula is a very rare disorder. No case of oesophagocutaneous fistula after blunt trauma has been reported. In this report we present a case of 25-year-old nursing student seen at the Lahore General Hospital, Lahore, with a history of blunt trauma to the neck. She was initially diagnosed with supra-sternal abscess. A few days after the incision and drainage of this abscess, she developed discharge of water and food particles from the wound site. It was investigated and diagnosed as oesophagocutaneous fistula. Her neck exploration was done and fistulous tract was found communicating with the upper mid-esophagus. The tract was excised and sent for biopsy. Histopathology revealed non- caseating granulomas with no evidence of malignancy. A gene X-pert was done to rule out tuberculosis and it came out to be negative. Postoperatively, the patient is living a normal life. This is the first of its kind case of oesophagocutaneous fistula reported from our part of the world.</abstract><cop>Pakistan</cop><pub>Knowledge Bylanes</pub><pmid>32794508</pmid><doi>10.5455/JPMA.39241</doi></addata></record> |
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subjects | Abscess Adult Care and treatment Case studies Cutaneous Fistula - etiology Cutaneous Fistula - surgery Diagnosis Drainage Female Humans Neck Tracheoesophageal fistula Wounds, Nonpenetrating |
title | An interesting and rare case of traumatic oesophagocutaneous fistula |
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