Craig J B
S Afr Med J. 1986 Feb 1;69(3):197-9.
Two adult patients developed cervical vertebral osteomyelitis after earlier sustaining penetrating wounds of the neck. The initial injuries were not explored surgically. Both patients were subsequently shown to have perforation of the oesophagus. In the first case the perforation was overlooked, with a resultant oesophageal fistula, while in the second case the perforation was anticipated and a fistula prevented. Pre-operative investigation of such cases by oesophagogram and endoscopy, and careful surgical observation for a perforation can prevent the complications of an oesophageal fistula.
两名成年患者在颈部先前遭受穿透性创伤后发生颈椎骨髓炎。最初的损伤未进行手术探查。随后发现两名患者均有食管穿孔。第一例中穿孔被忽视，导致食管瘘，而第二例中穿孔被及时发现并避免了瘘的形成。对此类病例进行术前食管造影和内镜检查，并在手术中仔细观察有无穿孔，可预防食管瘘的并发症。
