Citation

Ayub A, Naeem B, Ahn M, Bowen-Jallow KA, Tran S. Int. J. Surg. Case Rep. 2020; 76: 11-13.

Copyright

(Copyright © 2020, Elsevier Publishing)

DOI

10.1016/j.ijscr.2020.09.167

PMID

33010606

Abstract

INTRODUCTION: Gastroesophageal (GE) junction injuries are rare in the pediatric population. A complete GE junction separation in a child secondary to trauma has not reported in the literature yet.

PRESENTATION OF CASE: A 14-year-old boy presented with a complete GE junction avulsion after a near-drowning experience. He underwent immediate damage control surgery and delayed gastric pull-up esophageal reconstruction in 3-months. At the most recent clinic visit 5 months from the reconstruction, he can tolerate a regular diet without difficulty and is gaining weight and recovering well.

CONCLUSION: Complete GE junction injuries and avulsions are rare with limited data to guide management. These injuries are associated with mortality rates from 25% to 33%, therefore, high index of suspicion, prompt recognition and careful surgical planning is needed for favorable outcomes.

Language: en

Keywords

Near-drowning; Pediatric; Avulsion; Cardiopulmonary resuscitation; Gastroesophageal junction; Transection