Background. Penetrating lesions of the esophagus are more common than blunt injuries. The bullet wound (75%) is the main cause of these. In traumatic injuries, primary surgical repair is the standard of treatment.

Methods. Observational, Descriptive, cross–sectional, retrospective analysis of patients with esophageal trauma during January 2017 to December 2018.

Results. There were 4 male patients, average of hospital stay 37.4 days. The mechanism of injury was: 2 due to injury with a puncturing instrument, 1 due to a gunshot wound (HPAF) and another injury due to perforation with a foreign body. Surgical treatment was: 3 of 4 patients underwent esophageal raffia and one of them had a trachea raffia with a sternocleidomastoid flap. The complications were esophageal fistula and tracheal fistula.

Conclusions. These types of injuries are potentially fatal if there is a delay in diagnosis and treatment.