Department of Surgical Unit 1, Lahore General hospital, Lahore, Pakistan.
Surgical Unit-1, Lahore General Hospital, Lahore, Pakistan.
J Pak Med Assoc. 2020 Aug;70(8):1457-1459. doi: 10.5455/JPMA.39241.
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.
食管-皮肤瘘是一种非常罕见的疾病。据报道，没有钝性外伤后发生食管-皮肤瘘的病例。在本报告中，我们介绍了一位 25 岁的护理系学生的病例，她因颈部钝性外伤就诊于拉合尔总医院，最初被诊断为胸骨上脓肿。在切开引流脓肿几天后，她开始从伤口处排出水和食物颗粒。经检查诊断为食管-皮肤瘘。对她进行了颈部探查，发现瘘管与中上食管相通。切除了瘘管并进行活检。组织病理学显示非干酪性肉芽肿，无恶性证据。进行了Gene X-pert 检查以排除结核病，结果为阴性。手术后，患者恢复了正常生活。这是我们所在地区首例报告的食管-皮肤瘘病例。
