Gunshot wound of the neck with a fragment localized in close proximity to the initial p art of the esophagus with development of paraesophageal abscess. surgical tactics

Abstract

One of the features of the special military operation is the prevalence of fragment wounds with predominant damage to unprotected parts of the body. Wounds and injuries to the neck constitute no more than 4 %; however, with these injuries, irreversible losses amount to up to 13 %. The article describes a clinical case of a patient with a blind gunshot fragment wound to the neck, who was admitted to the surgical (thoracic) department of the 1469 Naval Clinical Hospital of the Russian Ministry of Defense 21 days later. The fragment, located behind the pharyngoesophageal junction in the projection of Killian's triangle, led to the development of an abscess and threatened perforation of the esophagus with subsequent development of mediastinitis. In addition, the article on surgical tactics justifies the access and describes in detail the technical methods of surgical inter vention.