Introduction:

Late stenosis and retraction of the substitute organ towards the mediastinum is a complex situation.

Objective:

To show a minimally invasive alternative to retraction and retention of the colon towards the mediastinum after esophagocoloplasty.

Clinical case:

The case is presented of an 18-year-old female patient with a history of accidental ingestion of a caustic product at one year and a half after birth. The treatment was a retrosternal esophagocoloplasty, for which the right colon was used. After 16 years, she presented an esophageal fistula with stenosis and retraction of the segment of the used colon towards the mediastinum.

Conclusions:

It was feasible remove the colon retained in the mediastinum as well as perform the tubular esophagogastroplasty, since it always offers advantages. Multidisciplinary integration between adult and pediatric surgeons was very important, allowing this complex procedure to be performed.

        · resumen en Español     · texto en Español     · Español ( pdf )