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Published on: February 26, 2017
Pulmonary patch repair of tracheobronchial necrosis with perforation secondary to caustic ingestion
Shintaro Chiba1, Igor Brichkov1
1Department of Surgery, Maimonides Medical Center, Brooklyn, New York.
Abstract:
Corrosive aerodigestive injury complicated by tracheobronchial necrosis is a rare complication after caustic ingestion that carries a high risk of mortality and morbidity. If left untreated, tracheobronchial necrosis results in perforation, mediastinitis, and death. Pulmonary patch repair is a safe, effective, and easily performed surgical technique for the treatment of tracheobronchial necrosis with perforation. Frequent endoscopic surveillance leads to early diagnosis and prompt operative management to prevent significant morbidity. We describe a pulmonary patch repair of a patient who had stage 3b necrosis of the esophagus and the stomach with tracheobronchial necrosis and perforation after caustic ingestion.
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