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Results for “ESOPHAGEAL PERFORATION”

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At least 667 records · Page 37Linked to original sources
PubMed1995

Candida mediastinitis and septic shock following occult esophageal perforation in a patient with posttraumatic quadriplegia.

Unexplained septic shock was ultimately shown to be caused by Candida mediastinitis after perforation of the cervical esophagus by a dislodged cervical methylmethacrylate construct in a 25-year-old patient with traumatic quadriplegia. Communication between the prevertebral abscess and pleural space further led to the formation of a esophageal-pleural-cervical fistula. Despite antibiotics, surgical removal of the construct, and drainage of the esophagus and mediastinum, the patient died from refractory shock and respiratory failure.

Adult↗
PubMed1981

Nonoperative management of contained esophageal perforation.

Spontaneous perforation of the esophagus still carries a high rate of morbidity and mortality because of frequent delay in diagnosis, extensive mediastinal contamination, and inadequate surgical repair. We used a nonoperative approach in two patients in whom the perforation was well contained, with evidence of drainage back into the esophagus and few symptoms or signs of sepsis. Nonoperative management included administration of intravenous antibiotics and hyperalimentation. Both patients had a satisfactory outcome.

Adult↗
PubMed2000

[Surgical treatment of spontaneous esophageal perforation--Boerhaave syndrome].

Spontaneous rupture of the oesophagus (Boerhaave's syndrome) is a life threatening disease the successful treatment of which depends on early diagnosis and effective comprehensive treatment. The authors present an account on three patients who were successfully treated on account of spontaneous rupture of the oesophagus.

Esophageal Diseases↗
PubMed1997

Esophageal perforation and caustic injury: emergency management of caustic ingestion.

Diagnosis and treatment of caustic ingestion injuries remain controversial. Based on experience with a wide spectrum of upper gastrointestinal tract injuries from caustic ingestion, prospectively observed in 58 adult patients treated in a teaching hospital in Milan, the authors suggest an early staging of the lesions by endoscopy, followed by resective surgery for high-degree esophagogastric lesions. Ingestion of a large amount of corrosive agent results in a life-threatening condition that requires a much more aggressive diagnostic and therapeutic approach than was formerly recommended. Early surgery plays a fundamental role in the prevention of acute hemorrhagic and perforative complications as well as of development of scar tissue and neoplastic stricture over time. The multidisciplinary approach to the management of these patients is underlined, stressing the need of close cooperation between a number of different specialists.

Adolescent↗
PubMedDate not supplied

Spontaneous esophageal perforation in a patient with achalasia cardia and rheumatoid arthritis.

Perforation of stasis ulcers in achalasia cardia has not been reported in literature. We report a 45-year-old lady with achalasia and rheumatoid arthritis who developed perforation and esophago-mediastinal sinus at the site of stasis ulcers. She succumbed to respiratory infection after resection of the sinus tract, Heller's cardiomyotomy, cervical esophagostomy and feeding jejunostomy.

Arthritis, Rheumatoid↗
PubMed1996

Spontaneous esophageal perforation in an acute burn patient.

Spontaneous perforation of the esophagus is an uncommon and catastrophic event accompanied by extremely high morbidity and mortality. In a burn patient, diagnosis may be delayed because of painful burns that may mask the underlying problem. Diagnosis is dependent on a high index of suspicion and by inclusion of this entity in the differential diagnosis of chest pain. The authors report on a 45-year-old male who developed a spontaneous perforation of the esophagus while hospitalized for treatment of an 11% total body surface area burn. Diagnosis and initiation of appropriate treatment resulted in salvage of this patient. The pathophysiology of this disease and a review of the literature are presented.

Burns↗
PubMedDate not supplied

[Spontaneous esophageal perforation (Boerhaave syndrome)].

A review of the literature reveals that the prognosis is unfavorable in the presence of spontaneous rupture of the esophagus, since approximately 50 per cent of the patients die. It is also generally true that the mortality will increase in a direct relationship to the time elapsed between the onset of the clinical syndrome and the arrival at a correct diagnosis and adequate treatment. The author presents a case review of the so-called Boerhaave's Syndrome in which the correct diagnosis was made and surgical treatment instituted within eight hours of onset. He emphasizes the importance of a careful consideration of the clinical and radiologic findings and especially that of mediastinal and subcutaneous emphysema.

Aged↗
PubMed1996

[Esophageal perforation: which treatment under which situation?].

Six disruptions of the thoracic esophagus were treated in our unit between 1979 and 1995. Three were iatrogenic and three spontaneous. Five were operated upon, and one treated conservatively. Surgical repair consisted of reinforced sutures (in two), direct fistulae (in two), and exclusion-diversion (in one). One leak occurred 6 days after direct closure, which was treated in turn with success by a directed fistula. There was one death. The five patients who survived resumed normal oral feeding in eleven days. Directed fistulization using a small T-tube appeared as a safe option when it could be done within 24 hours. Exclusion coupled with diversion was successful in one case which appeared desperate at first.

Adult↗
PubMed1994

[Roentgen findings in spontaneous esophageal perforation (Boerhaave syndrome)].

Having experienced two cases of Boerhaave's syndrome (spontaneous rupture of the oesophagus), one a 42-year-old man, the other a 76-year-old woman, who both died of complications failing operative repair, the authors undertook a survey of the literature in order to evaluate the role of radiology in the detection of this life-threatening condition. An analysis of 118 clinically and 67 radiologically well-documented cases yielded pathologic findings in chest X-rays in 90% of the cases. Hydropneumothorax was found in 51%, pneumomediastinum in 30%, isolated pleural effusion in 25%, and infiltration of the parenchyma in 14% of the patients. In all cases it was possible to demonstrate by contrast medium-filling of the oesophagus with an aqueous medium.

Adult↗
PubMed1982

Cervical osteomyelitis after esophageal perforation.

A patient with diabetes mellitus who sustained an iatrogenic perforation of the cervical esophagus subsequently had osteomyelitis of the cervical spine involving the bodies of C-6 and C-7. This occurred despite early and aggressive surgical treatment of the perforation. Roentgenograms of the cervical spine should be included in the follow-up of selected patients treated for perforation of the esophagus.

Cervical Vertebrae↗