Abstract
•How to navigate the traumatic gastric injury diagnosis dilemma pre operativelly.•Currently, a gastric leak after surgical repair is associated with significant and prolonged morbidity and mortality, remaining one of the most feared complications with no standard treatment guidelines.•Managing traumatic GE junction injury with endoscopic stenting resulted in many advantageous including resume oral intake earlier, shorter hospital stay and less morbidities.
Proximal postierior gastric injuries are challenging and are often overlooked and diagnosed late. We present a case of traumatic proximal posterior gastric injury.
A 34-year-old male patient presented with traumatic proximal posterior gastric injury secondary to falling from a height. Nonoperative treatment was achieved by placing a gastric stent and wide drainage that resulted in complete healing of the perforation within a period of 8 weeks.
There are no standard treatment guidelines for managing gastric leaks, except for surgical repair, in trauma patients. Management with a gastric stent has been proven effective in gastric leaks resulting from bariatric surgeries and surgical interventions for gastric cancer. This approach was followed in the management of our patient and showed promising results.
Nonoperative management with an endoscopic stent can be considered a treatment option for leaks resulting from traumatic gastric injury.