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Case Reports
. 2018 Jan 4;2018(1):rjx256.
doi: 10.1093/jscr/rjx256. eCollection 2018 Jan.

Esophagocoloplasty fistula successfully treated with vacuum-assisted closure

Santiago A Endara  1 , Fernando J Terán  2 , Armando J Serrano  3 , Manuela J Castillo  4 , Gabriel A Molina  5
Affiliations
Case Reports

Esophagocoloplasty fistula successfully treated with vacuum-assisted closure

Santiago A Endara et al. J Surg Case Rep. .

Abstract

Esophageal fistulas in the cervical region are usually difficult to manage and carry a high morbidity. We report a case of an esophago-colonic fistula after colonic interposition, successfully managed with vacuum-assisted closure 'V.A.C. system', (Kinetic Concepts Inc., San Antonio, TX, USA). The patient initially presented with purulent fluid from the cervical wound 13 days after surgery. Esophagogram confirmed a leak. Since the patient had a history of anastomotic leaks, a surgical intervention was not the treatment of choice. In light of this, conservative treatment with V.A.C. system was initiated. She underwent full recovery.

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Figures

Figure 1:
Figure 1:
(A) Metal stent seen during thoracotomy. (B) Cervical fistula seen during esophagogram. (C) Cervical fistula seen during upper endoscopy.
Figure 2:
Figure 2:
(A) Functional V.A.C. system in-patient. (B) Granulation tissue in the cervical wound. (C) Wound after therapy.
See this image and copyright information in PMC

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