Giant paratubaric cyst. A case report.
Guerrero-Caballero RJ, Guzmán-Aguilar R, Ruiz-Fuentes MY, Sosa-Duran EE. Laparoscopic management of esophageal gunshot trauma with gastric transposition. Am J Med Surg. August 2021; 5(1). 21-24.
BACKGROUND. Esophageal trauma by gunshot to the neck is a rare condition, however its initial management is an esophagectomy and jejunostomy in a trauma setting, leaving the stomach intact for a second surgical stage which consists of a restoration of the upper intestinal transit with gastric ascent, esophagectomy is a complex surgical procedure associated with high mortality and morbidity rates depending on the type of approach, being reported in the literature an improvement of these in minimally invasive approaches such as laparoscopic esophagectomy.
We present a case of a 38 year old male with a history of gunshot wound in the neck with esophageal and tracheal injury with management in the external medical unit where esophageal exclusion was performed with esophagostomy plus protective tracheostomy plus feeding jejunostomy presenting esophageal stoma necrosis on the third day, so esophageal exclusion was performed with closure of the proximal stump. The patient was evaluated and a decision was made to restore the high intestinal transit, so laparoscopic transhiatal esophagectomy with gastric ascent was performed.
Laparoscopic surgical management of esophagectomy plus gastric transposition is a challenge for the surgeon, the laparoscopic trashiatal approach for esophagectomy and reconstruction has proven to be safe and to give good results.
KEY WORDS: Esophageal trauma, gunshot trauma, laparoscopic surgery.