Complete gastroesophageal junction avulsion after near drowning: A case report and review of literature

Adil Ayub, Buria Naeem, Mollie Ahn, Kanika Bowen-Jallow, Sifrance Tran

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Gastroesophageal (GE) junction injuries are rare in the pediatric population. A complete GE junction separation in a child secondary to trauma has not reported in the literature yet. Presentation of case: A 14-year-old boy presented with a complete GE junction avulsion after a near-drowning experience. He underwent immediate damage control surgery and delayed gastric pull-up esophageal reconstruction in 3-months. At the most recent clinic visit 5 months from the reconstruction, he can tolerate a regular diet without difficulty and is gaining weight and recovering well. Conclusion: Complete GE junction injuries and avulsions are rare with limited data to guide management. These injuries are associated with mortality rates from 25% to 33%, therefore, high index of suspicion, prompt recognition and careful surgical planning is needed for favorable outcomes.

Original languageEnglish (US)
Pages (from-to)11-13
Number of pages3
JournalInternational Journal of Surgery Case Reports
Volume76
DOIs
StatePublished - 2020

Keywords

  • Avulsion
  • Cardiopulmonary resuscitation
  • Gastroesophageal junction
  • Near-drowning
  • Pediatric
  • Transection

ASJC Scopus subject areas

  • Surgery

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