Tracheoesophageal fistula secondary to chemical trauma: is there a place for planned conservative management?

2010 ◽  
Vol 124 (10) ◽  
pp. 1136-1138 ◽  
Author(s):  
D Biswas ◽  
S Majumdar ◽  
J Ray ◽  
P Bull
Keyword(s):  
Conservative Management ◽  
Tracheoesophageal Fistula ◽  
Surgical Repair ◽  
Spontaneous Closure ◽  
Chemical Burn ◽  
Unique Case ◽  
Secondary Intention ◽  
Interventional Management

AbstractObjective:We present a unique case in which closure of a large tracheoesophageal fistula was achieved with planned conservative management.Method:The literature was reviewed for other documented cases of spontaneous closure of traumatic tracheoesophageal fistula.Results:Acquired tracheoesophageal fistula may result secondary to a chemical burn from an alkaline disc battery impacted in the oesophagus, particularly when the presentation, and thus diagnosis, are delayed. This condition is rare. The majority of such cases occur in children, and are conventionally managed with surgical repair. We found only three previously reported cases in which conservative management was attempted.Conclusion:Non-interventional management should be tried initially for the management of paediatric acquired tracheoesophageal fistula, to permit closure by secondary intention.

Successful conservative management of an acquired tracheoesophageal fistula

2021 ◽  
Author(s):  
Atsushi Harada ◽  
Naoki Shimojima ◽  
Hirofumi Tomita ◽  
Akihiro Shimotakahara ◽  
Seiichi Hirobe
Keyword(s):  
Conservative Management ◽  
Tracheoesophageal Fistula

scholarly journals Spontaneous Closure of a Type 2a Dural Arteriovenous Fistula following Late Recanalization of the Occluded Sinus

2010 ◽  
Vol 16 (3) ◽  
pp. 282-285 ◽  
Author(s):  
D.J. Warren ◽  
I. Craven ◽  
C.A.J. Romanowski ◽  
S.C. Coley
Keyword(s):  
Arteriovenous Fistula ◽  
Conservative Management ◽  
Dural Arteriovenous Fistula ◽  
Sigmoid Sinus ◽  
Spontaneous Resolution ◽  
Spontaneous Closure ◽  
Therapeutic Implication

We describe the rare spontaneous resolution of a type 2a dural AVF that coincided with recanalization of the previously thrombosed sigmoid sinus after ten years of conservative management. The factors potentially responsible for spontaneous fistula obliteration are discussed and the therapeutic implication of this observation is considered.

Splenic Trauma

1980 ◽  
Vol 1 (7) ◽  
pp. 203-206
Author(s):  
Sara H. Sinal
Keyword(s):  
Conservative Management ◽  
Pneumococcal Vaccine ◽  
Splenic Injury ◽  
Surgical Repair ◽  
Nonoperative Management ◽  
Life Time ◽  
Modern Technology ◽  
Accurate Diagnosis ◽  
Splenic Trauma

Modern technology, specifically the splenic scan, aids in a quick and accurate diagnosis of splenic injury. Because children rarely exsanguinate from trauma to the spleen, splenectomy has been replaced by more conservative management as the treatment of choice in splenic trauma. Both nonoperative management and surgical repair of the spleen are alternatives. If splenectomy is necessary, the child is at greatly increased life time risk for an episode of overwhelming sepsis. Pneumococcal vaccine is indicated in children who must undergo splenectomy.

Pectoralis Major Rupture: Presentation of Two Cases and Review of 74 Cases

1997 ◽  
Vol 5 (2) ◽  
pp. 118-122
Author(s):  
Hubert YM Chao ◽  
Ralph T Manktelow
Keyword(s):  
Surgical Management ◽  
Conservative Management ◽  
English Language ◽  
Surgical Repair ◽  
Case Reports ◽  
Pectoralis Major ◽  
Review Of The Literature ◽  
The Past ◽  
Sporting Activities ◽  
Language Literature

Pectoralis major rupture is uncommon. Injury usually occurs from sporting activities. The incidence and management of pectoralis major rupture is not well known, despite 74 case reports in the English language literature over the past 34 years. Two cases of chronic pectoralis ruptures and their successful surgical management are described. A review of the literature shows that most injuries occur at the humeral insertion, and most are complete ruptures. Distinguishing between complete and partial ruptures is important. Complete ruptures are best treated surgically in the acute situation. When chronic complete ruptures present, surgical repair yields fair to good results. Acute partial ruptures can be effectively managed conservatively or with surgery. Chronic partial ruptures can be managed surgically with good results, following unsatisfactory conservative management in the acute situation.

Conservative management of tracheoesophageal fistula (TEF) following disc-battery ingestion

2016 ◽  
Vol 48 ◽  
pp. e262
Author(s):  
M.T. Illiceto ◽  
G. Lisi ◽  
F. Marco ◽  
P. Lelli Chiesa ◽  
G. Lombardi
Keyword(s):  
Conservative Management ◽  
Tracheoesophageal Fistula

Clinical course of atrial septal defect in children

1992 ◽  
Vol 2 (2) ◽  
pp. 141-146 ◽  
Author(s):  
Ling Han ◽  
José A. Ettedgui ◽  
James R. Zuberbuhier
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Surgical Repair ◽  
Clinical Course ◽  
Spontaneous Closure ◽  
The Other ◽  
Second Sound ◽  
Ventricular Enlargement ◽  
Flow Ratio ◽  
Large Flow

AbstractThe incidence of spontaneous closure of uncomplicated defects of the oval fossa was determined in cohort of 498 children. Surgical repair was accomplished in 428 at a median age of 4.5 years. Of the 70 who did not undergo surgery, 20 showed spontaneous closure or a decrease in size of the defect. The defect was unchanged in the other 50. The age at diagnosis, pulmonary-to-systemic flow ratio and size of the defect were not statistically significantly different in the changed and unchanged groups, and there was no difference in prevalence of symptoms, the triad of systolic and diastolic murmurs and abnormal splitting of the second sound, or of right ventricular enlargement by echocardiography. The rate of spontaneous diminution in size or actual closure of a defect in this series was 4%, and no clinical predictor of change in the size of a defect was identified. Thus, delay in repair of a large flow atrial septal defect in the hope of spontaneous closure is not justified, whether or not symptoms are present.

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