Lateral traumatic esophago-cutaneous fistula in a child ; platelet-rich fibrin glue challenge

Abstract EN

Introduction : The endoscopic fibrin glue or platelet-rich fibrin glue (PRFG) injection is an easy, safe and effective technique for the fistula.

So far, the use of fibrin glue has been limited to selected cases.

Case report : Our case is a three years old male child with a neck trauma resulting in a Esophago-Cutaneous fistula after a 3 month period of follow up we decided to use PRFG for this lesion after fine debridement of the fistula tract, and the surrounding fibrosed tissue twice with a one week interval.

Our visit after two weeks showed complete recovery and normal general condition.

A contrast study revealed complete disappearance of the lesion.

Conclusions : In our case the PRFG completely resolved a long-standing fistula resistant to exhaustive conservative management.

The treatment with PRFG has been proved to be effective in the selected cases and it seems that traumatic esophago-cutaneous fistula may be one of these selections.

Application of fibrin sealant should be considered early in the management of these difficult clinical problems.