Journal
IRANIAN RED CRESCENT MEDICAL JOURNAL
Volume 15, Issue 3, Pages 256-259Publisher
KOWSAR PUBL
DOI: 10.5812/ircmj.7975
Keywords
Fistula; Wounds and Injuries
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Funding
- Mashhad University of Medical Science Research Council
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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 maybe one of these selections. Application of fibrin sealant should be considered early in the management of these difficult clinical problems.
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