Author/Authors :
Joudi, Marjan Pediatric Surgery Department - Sheikh Academic Hospital - Mashhad University of Medical Sciences, Mashhad, IR Iran , Hamidi Alamdari, Daryoush Stem Cell and Regenerative Medicine Research Group - Department of Biochemistry - Mashhad University of Medical Sciences, Mashhad, IR Iran , Hyradfar, Mehran Pediatric Surgery Department - Sheikh Academic Hospital - Mashhad University of Medical Sciences, Mashhad, IR Iran , Rahimi, Hamid Reza Department of Modern Sciences and Technologies - Faculty of Medicine - Mashhad University of Medical Sciences, Mashhad, IR Iran , Saremi, Elena Pediatric Surgery Department - Sheikh Academic Hospital - Mashhad University of Medical Sciences, Mashhad, IR Iran , Fathi, Mahdi Heart Surgery Departments - Imam Reza Academic Hospital - Mashhad University of Medical Sciences, Mashhad, IR Iran , Shojaeian, Reza Pediatric Surgery Department - Sheikh Academic Hospital - Mashhad University of Medical Sciences, Mashhad, IR Iran , Koliakos, George Departments of Biochemistry - Medical School - Aristotle University of Thessaloniki, Thessaloniki, Greece
Abstract :
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.
