TY  - JOUR
PY  - 2016//
TI  - Conservative management of gunshot oesophageal injuries: a report of two consecutive exceptional cases
JO  - African journal of emergency medicine
A1  - Virdis, Francesco
A1  - Chowdhury, Sharfuddin
A1  - Nicol, Andrew John
A1  - Navsaria, Pradeep Harkison
SP  - 144
EP  - 147
VL  - 6
IS  - 3
N2  - Introduction  Oesophageal trauma carries high mortality and morbidity. For penetrating intrathoracic oesophageal injury, surgical repair has been the standard for decades to avoid its devastating consequences.   Case report  Both patients presented with a thoracoabdominal gunshot wound and retained intraabdominal missile. Although there were no visible signs of perforation on oesophagoscopy or contrast swallow, the presence of an intraluminal bullet highly suggested a thoracic oesophageal injury.   Discussion  Non-operative management of intrathoracic oesophageal perforation is controversial. Small perforations or contained leaks diagnosed within 24-48 h in a stable patient with no mediastinitis or empyema can be managed non-operatively with antibiotics and nasogastric feeds. These two case reports support the notion of selective non-operative management of asymptomatic patients with penetrating injury to the oesophagus.<p />
LA  - en
SN  - 2211-419X
UR  - http://dx.doi.org/10.1016/j.afjem.2016.05.007
ID  - ref1
ER  -