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Case Report
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| Penetrating neck trauma in children causing aerodigestive tract injury: A case presentation | ||||||
| Aram Baram1, Fahmi Kakamad1, Fitoon Yaldo2, Twana Kareem2 | ||||||
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1Faculty of Medical Sciences, School of Medicine, Department Cardiothoracic and Vascular Surgery, University of Sulaimani, François Mitterrand, Street, Sulaimani, Kurdistan Region, Iraq.
2Sulaiman teaching Hospital, Sulaimani, Kurdistan Region, Iraq. | ||||||
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| How to cite this article |
| Baram A, Kakamad F, Yaldo F, Kareem T. Penetrating neck trauma in children causing aerodigestive tract injury: A case presentation. Int J Case Rep Images 2017;8(3):175–178. |
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Abstract
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Introduction:
Pediatric traumatic esophageal perforation has high morbidity and mortality rates. It is most commonly iatrogenic in nature with penetrating trauma account for only 0.5% of cases. We report a case of pediatric penetrating trauma to the neck (zone two) causing both through and through cervical esophageal injury and laceration of the posterior wall of the trachea.
Case Report: A six-year-old boy suffering from penetrating neck trauma due to blast explosion presented to us with severe respiratory distress and drooling of saliva. Diagnostic workup revealed both tracheal and esophageal injury. Immediate primary repair was done for both the organs. Postoperatively, he developed ARDS which treated conservatively with good outcome. Conclusion: High index of suspicion is always required not to miss any injuries especially esophageal injuries, bearing in mind whenever you have one injury searching for others is rationale. Tracheostomy tube whenever applied in children needs more meticulous care than adult population. | |
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Keywords:
Esophagus, Perforation, Sharp nail, Tracheostomy
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Author Contributions
Aram Baram – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Fahmi Kakamad – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Fitoon Yaldo – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Twana Kareem – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Aram Baram et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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