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J Surg Case Rep. 2018 Jan 4;2018(1):rjx256. doi: 10.1093/jscr/rjx256. eCollection 2018 Jan.

Esophagocoloplasty fistula successfully treated with vacuum-assisted closure.

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Department of General Surgery, Division of Cardiothoracic Surgery, Hospital Metropolitano, Quito, Ecuador.
Department of General Surgery, Hospital Metropolitano, Quito, Ecuador.
Department of Plastic Surgery, Hospital Metropolitano, Quito, Ecuador.
Resident Oro-Maxillo-Facial Surgery, U.S.F.Q, Quito, Ecuador.
Resident General Surgery, P.U.C.E, Quito, Ecuador.


Esophageal fistulas in the cervical region are usually difficult to manage and carry a high morbidity. We report a case of an esophago-colonic fistula after colonic interposition, successfully managed with vacuum-assisted closure 'V.A.C. system', (Kinetic Concepts Inc., San Antonio, TX, USA). The patient initially presented with purulent fluid from the cervical wound 13 days after surgery. Esophagogram confirmed a leak. Since the patient had a history of anastomotic leaks, a surgical intervention was not the treatment of choice. In light of this, conservative treatment with V.A.C. system was initiated. She underwent full recovery.

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