שאלה משלב א׳ בכירורגיית ילדים · מועד 2026, שאלה 67

Correct: A — conservative management with nil by mouth and broad-spectrum antibiotics. An instrumental oesophageal perforation in a stable child without sepsis or a demonstrated leak is managed non-operatively, with parenteral nutrition, acid suppression and a contrast study before resuming feeds, and this succeeds in the great majority. Option B is wrong because immediate thoracotomy is reserved for a large leak, mediastinal contamination or clinical deterioration; option C is wrong because stenting is a second-line measure; option D is wrong because a chest drain is added only if there is a pleural collection.

מקור: Coran-Holcomb p. 437-438