Tracheoesophageal fistula following blunt chest trauma is rare. Typically the patient is a young male with an elastic chest wall who is involved in a motor vehicle accident. In this case the victim was a motorcyclist who collided with a stationary lorry. He underwent surgery 4 weeks after the injury made an uncomplicated recovery.
Benign strictures of the oesophagus are not uncommon. The majority are due to ingestion of corrosives. Different forms of therapy have been recommended. Repeated stricture dilatation has been advocated; when this fails surgical replacement of the oesophagus may be required. There is little information regarding oesophageal dilatation in Sri Lanka. To retrospectively analyze an 18 year series of patients with benign strictures of the oesophagus treated in a single surgical unit to determine the safety and long term effectiveness of oesophageal replacement by a variety of techniques. 110 Patients with benign strictures of the oesophagus were treated in a single surgical unit at the Sri Jayawardenapura General Hospital, Nugegoda, Sri Lanka from 1994 to 2011. Clinical, pathological and operative data were reviewed from medical records and interviews with patients and relatives.
Intramural obstruction of jejunum is rare. Foreign body ingestion is a potential cause. If conservative measures fail surgery is mandatory. The cause is usually detected at surgery.
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