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COPYRIGHT 2008 Canadian Medical Association
Despite progress in surgical technique and nutritional support, esophageal perforation remains associated with high morbidity and mortality. (1) We describe a new technique used to repair an esophageal perforation in a patient with a gunshot injury.
Case report
A 39-year-old woman was admitted to our shock trauma centre for the management of abdominal and thoracic trauma caused by penetrating gunshot wounds. Thoracic and abdominal computed tomography showed multiple fractures of the spleen and hemoperitoneum, a small lesion of the upper left kidney, a fracture of the eleventh left rib and a diaphragmatic injury. Forty minutes after admission to the hospital, the patient underwent a splenectomy. We simply sutured the small, superficial lesion on the upper pole of the kidney. The 2-cm hole in the diaphragm was treated by an interrupted horizontal suture. A hole measuring about 2 cm in diameter was detected on the posterior wall...
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